Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bacterial sinusitis75498004
- Start
- 1999-07-19
- Stop
- 1999-07-19
The parties
- Patient
- patient Mireya Bode
- Provider
- provider Celesta Shields
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
04f53306-ad14-544b-2f3d-2580fd85c253