Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2019-09-12
- Stop
- 2019-09-12
The parties
- Patient
- patient Tim Taylor Terry
- Provider
- provider Criselda Bartell
- Payer
- payer Humana
Record id
03607fcd-7c51-41c0-c4c7-dab3eb8dc6f9