Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2023-09-16
- Stop
- 2023-09-16
The parties
- Patient
- patient Harland Carmine Herzog
- Provider
- provider Lucas Kautzer
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
0302711f-bc3a-898e-d7ee-75afa718bbee