Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2018-07-29
- Stop
- 2018-07-29
The parties
- Patient
- patient Harlan Luigi Bosco
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
00d351d5-8ef1-f44d-32a9-ebe2c72ac416