Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bacterial sinusitis75498004
- Start
- 2022-05-18
- Stop
- 2022-05-18
The parties
- Patient
- patient Lee Scot Rosenbaum
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
027e2621-860b-6019-57f6-103ecd1628a8