Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 1977-03-12
- Stop
- 1977-03-12
The parties
- Patient
- patient Irving Steve Legros
- Provider
- provider Leta Sipes
- Payer
- payer Medicaid
Record id
02796652-7893-0df9-6862-ac8f3cf4275b