Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2018-02-21
- Stop
- 2018-02-21
The parties
- Patient
- patient Annamarie Mollie Hoppe
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicaid
Record id
0555f11c-c453-57eb-c17e-d3136bfdd222