Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2019-08-25
- Stop
- 2019-08-25
The parties
- Patient
- patient Florinda Suzanna Lehner
- Provider
- provider Trinidad Quitzon
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
05d39322-006c-95d6-b4c4-9044f40bde83