Claim total
$101.32
base $93.39 · payer covered $81.05
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sinusitis36971009
- Start
- 2007-09-01
- Stop
- 2007-09-01
The parties
- Patient
- patient Harland Carmine Herzog
- Provider
- provider Aubrey Carroll
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
0302711f-bc3a-898e-58b8-f12912c4aacc