Claim total
$101.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bacterial sinusitis75498004
- Start
- 1990-12-22
- Stop
- 1990-12-22
The parties
- Patient
- patient Loma Tawanna Ferry
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
04384da7-7311-e99a-21bb-958e369cf8d9