Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2021-09-17
- Stop
- 2021-09-17
The parties
- Patient
- patient Allen Trent Mann
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
007bcc47-8ca5-7eab-48e5-f8ee509871a7