Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2016-11-27
- Stop
- 2016-11-27
The parties
- Patient
- patient Faustino Romeo Bauch
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicaid
Record id
03e24eff-3793-eaeb-8203-555adf6c4a17