Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2021-09-14
- Stop
- 2021-09-14
The parties
- Patient
- patient Louella Roberts
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
05092f50-4c35-2d72-bf41-2d9bb8c839f3