Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-02-05
- Stop
- 2014-02-05
The parties
- Provider
- provider Adrienne Hills
- Payer
- payer Dual Eligible
Record id
04481159-34f8-6925-16f6-b8d1f3b07f91