Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2011-10-23
- Stop
- 2011-10-23
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Eldon Conn
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
058279b6-7701-4823-0afc-f760734c71e2