Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-28
- Stop
- 2014-04-28
The parties
- Patient
- patient Bruce Zachariah Green
- Provider
- provider Keneth Will
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
09104096-b6f3-23d7-fa93-7bc60b65e238