Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-02-06
- Stop
- 2014-02-06
The parties
- Patient
- patient Chia Jalisa Champlin
- Provider
- provider Celestine Kutch
- Payer
- payer Cigna Health
Record id
03f9d33d-12ca-f1a8-08cb-03de9b8a60c5