Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2023-09-04
- Stop
- 2023-09-04
The parties
- Patient
- patient Lorena Marilu Paredes
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0a28d644-c9bb-51b3-1ba5-d6bb4ec61e27