Claim total
$101.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bacterial sinusitis75498004
- Start
- 2014-09-27
- Stop
- 2014-09-27
The parties
- Patient
- patient Saul Little
- Provider
- provider Aubrey Carroll
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Humana
Record id
0205c336-938f-d85a-02e3-dd5f787be0cb