Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-01-31
- Stop
- 2014-01-31
The parties
- Patient
- patient Saul Little
- Provider
- provider Tomas Waelchi
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Humana
Record id
0205c336-938f-d85a-1cfc-d4bb9a9e2447