Claim total
$101.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sinusitis36971009
- Start
- 1937-01-12
- Stop
- 1937-01-12
The parties
- Patient
- patient Bryant Lindsey Kris
- Provider
- provider Burton O'Conner
- Payer
- payer No insurance
Record id
01c56dba-0d82-4ea3-6a30-5257b9571f5d