Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2018-01-22
- Stop
- 2018-01-22
The parties
- Patient
- patient Jeremy Gregory Jacobson
- Provider
- provider Stuart Bergnaum
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
Record id
04f9baea-0c64-12b2-376d-75db962ca6d5