Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 1989-12-19
- Stop
- 1989-12-19
The parties
- Patient
- patient Susanna Avis Emard
- Provider
- provider Michael Dibbert
- Payer
- payer Dual Eligible
Record id
0443166c-c803-503e-4844-e95e7ef66e12