Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2019-01-31
- Stop
- 2019-01-31
The parties
- Patient
- patient Blake Rudolph Von
- Provider
- provider Goldie O'Hara
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Aetna
Record id
01986319-54e6-598a-9c27-26bef77e96d9