Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2024-08-27
- Stop
- 2024-08-27
The parties
- Patient
- patient Louella Roberts
- Provider
- provider Trinity Mraz
- Payer
- payer Medicaid
Record id
05092f50-4c35-2d72-3f7c-467839a461e0