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 Jefferson Fredrick Stamm
- Provider
- provider Irmgard Padberg
- Payer
- payer Humana
Record id
02e8a145-6422-3c9c-afd1-4bfcdd7bc5b8