Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2023-07-14
- Stop
- 2023-07-14
The parties
- Patient
- patient Wyatt Lewis McGlynn
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0123b099-d1de-2c0a-638b-146d2e49d81c