Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-02-03
- Stop
- 2014-02-03
The parties
- Patient
- patient Heriberto Orval Feest
- Provider
- provider Jo Stiedemann
- Payer
- payer UnitedHealthcare
Record id
04dd6dd9-2faa-05da-c2dc-250e20df2b9d