Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2016-07-04
- Stop
- 2016-07-04
The parties
- Patient
- patient Felipe Dwain Keebler
- Provider
- provider Leta Sipes
- Payer
- payer Humana
Record id
02f04cf4-122a-e8d3-0732-f9b24718cc35