Claim total
$76.30
base $76.30 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 183452005
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2003-10-25
- Stop
- 2003-10-25
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer No insurance
Record id
04f07ca4-67b1-b65a-337c-40124bb1a191