Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-01-31
- Stop
- 2014-01-31
The parties
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicaid
Record id
05836489-c27c-5168-67b8-b9a5de8b8510