Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 1995-11-24
- Stop
- 1995-11-24
The parties
- Patient
- patient Mike Brendon Hackett
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
048bde62-95d9-bb18-ea67-c873e462435a