Claim total
$7,771.56
base $93.39 · payer covered $6,030.85
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bacterial sinusitis75498004
- Start
- 2024-07-08
- Stop
- 2024-07-08
The parties
- Patient
- patient Phylis Elenora Cassin
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0400c40b-e8b5-c779-8037-1c6fb3bcdfad