Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2022-12-21
- Stop
- 2022-12-21
The parties
- Patient
- patient Ramiro Ramón Uribe
- Provider
- provider Pa Kulas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
0479f26d-83ad-2793-48ae-984c62e627fa