Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2025-12-01
- Stop
- 2025-12-01
The parties
- Patient
- patient Faustino Romeo Bauch
- Provider
- provider Michael Dibbert
- Payer
- payer Medicaid
Record id
03e24eff-3793-eaeb-01ac-c9d2d36e254e