Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2017-11-30
- Stop
- 2017-11-30
The parties
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicaid
Record id
05836489-c27c-5168-5f92-c1195a83ad1d