Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2017-07-11
- Stop
- 2017-07-11
The parties
- Provider
- provider Michael Dibbert
- Payer
- payer Dual Eligible
Record id
04481159-34f8-6925-7a9e-3d3fcf8b8b12