Claim total
$101.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sinusitis36971009
- Start
- 1968-01-13
- Stop
- 1968-01-13
The parties
- Patient
- patient Laveta Russel
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
01e64c71-bb1e-2212-ccc0-b44f9122f533