Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2019-12-23
- Stop
- 2019-12-23
The parties
- Patient
- patient Sha Robin Reilly
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
043d6e13-0cc7-07f3-30fb-d3664b2dcb9d