Claim total
$101.32
base $93.39 · payer covered $51.32
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sinusitis36971009
- Start
- 1955-01-31
- Stop
- 1955-01-31
The parties
- Patient
- patient Ángela Carlota Lovato
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0465c17f-66cb-2155-f79c-fcc3ca8ad474