Claim total
$101.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bacterial sinusitis75498004
- Start
- 2005-04-02
- Stop
- 2005-04-02
The parties
- Patient
- patient Hosea Sterling MacGyver
- Provider
- provider Shonta Hayes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
06447c96-5e71-8652-40ac-3c4549b84c5b