Claim total
$101.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bacterial sinusitis75498004
- Start
- 1955-11-28
- Stop
- 1955-11-28
The parties
- Patient
- patient Arthur Pablo Greenfelder
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
028512d5-49bb-87e7-a822-06431c7e3ebb