Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2016-10-24
- Stop
- 2016-10-24
The parties
- Patient
- patient Lincoln Reyes Hansen
- Provider
- provider Irmgard Padberg
- Payer
- payer Humana
Record id
036e82a1-5d34-0b1d-ded1-109c6461784a