Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2020-07-30
- Stop
- 2020-07-30
The parties
- Patient
- patient Felicitas Lilla White
- Provider
- provider Donette Hilpert
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
009a994d-1397-364c-2cf9-8777b65b1680