Claim total
$101.32
base $93.39 · payer covered $60.79
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sinusitis36971009
- Start
- 2011-05-01
- Stop
- 2011-05-01
The parties
- Patient
- patient Temple Joe Beer
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
031e9e86-1ff9-e433-c532-c07d22c34cd7