Claim total
$76.30
base $76.30 · payer covered $61.04
The visit
- Class
- Emergency
- Code
- 183452005
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 1990-06-29
- Stop
- 1990-06-29
The parties
- Patient
- patient Harland Carmine Herzog
- Provider
- provider Sheree Kreiger
- Care site
- care site MARANATHA CARE CENTER
- Payer
- payer Medicare
Record id
0302711f-bc3a-898e-7e88-3f0115019b77