Claim total
$101.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sinusitis36971009
- Start
- 1958-06-14
- Stop
- 1958-06-14
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Keneth Will
- Care site
- care site MERCY HOSPITAL
- Payer
- payer No insurance
Record id
058279b6-7701-4823-2b9a-7faf771f54b1