Claim total
$93.39
base $93.39 · payer covered $65.37
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2019-11-28
- Stop
- 2019-11-28
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Trinity Mraz
Record id
00cb11fd-f3f7-0950-b6bc-407b7463f298