Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2019-09-11
- Stop
- 2019-09-11
The parties
- Patient
- patient Jared Lenard Hansen
- Provider
- provider Greta Gutmann
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Anthem
Record id
047ee4ec-c50b-b504-5956-ff006d1d7425