Claim total
$101.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sinusitis36971009
- Start
- 2005-03-05
- Stop
- 2005-03-05
The parties
- Patient
- patient Penny Shona Schaden
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
03e70281-0fa0-c7c6-4726-fd413deca8c8