Claim total
$101.32
base $93.39 · payer covered $81.05
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bacterial sinusitis75498004
- Start
- 1996-06-08
- Stop
- 1996-06-08
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Eddy Cassin
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
047697e3-dcee-86e1-b8bb-709f7ebe1f70