Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sinusitis36971009
- Start
- 2019-04-03
- Stop
- 2019-04-03
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Liz Kozey
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-f07b-5ea84bc6ff1b