Claim total
$76.30
base $76.30 · payer covered $26.30
The visit
- Class
- Emergency
- Code
- 183452005
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 1994-07-05
- Stop
- 1994-07-05
The parties
- Patient
- patient Soledad Rocio Aguirre
- Provider
- provider Shellie Pacocha
- Care site
- care site MILS HOME HEALTH CARE AGENCY
- Payer
- payer Medicaid
Record id
060aa7a8-9653-5ae4-e9d5-83669bb5618b