Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2023-05-30
- Stop
- 2023-05-30
The parties
- Patient
- patient Chia Jalisa Champlin
- Provider
- provider Marcus Douglas
- Payer
- payer Aetna
Record id
03f9d33d-12ca-f1a8-58bd-5f452b084b64