Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2021-02-11
- Stop
- 2021-02-11
The parties
- Patient
- patient Shalon Arnetta Bosco
- Provider
- provider Jaclyn Kuhic
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
03f768f4-038d-f7fd-ee39-5257fc30021a