Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2025-12-21
- Stop
- 2025-12-21
The parties
- Patient
- patient Reatha Victor O'Conner
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Aetna
Record id
0521a0be-ba7b-b4e6-21bc-97d133ebfa44