Claim total
$101.32
base $93.39 · payer covered $66.32
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sinusitis36971009
- Start
- 1968-03-11
- Stop
- 1968-03-11
The parties
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
02b0534d-1cdc-7379-3f7e-d0b24e5bd237