Claim total
$101.32
base $93.39 · payer covered $81.05
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sinusitis36971009
- Start
- 2008-11-22
- Stop
- 2008-11-22
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Burton O'Conner
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-0ef8-e0dc0b5b11a6