Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2019-11-03
- Stop
- 2019-11-03
The parties
- Patient
- patient Kaycee Luanne Mohr
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
03ac889d-2da8-a492-ff2b-ac3ea77ee72e