Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Primary fibromyalgia syndrome95417003
- Start
- 2015-11-19
- Stop
- 2015-11-19
The parties
- Patient
- patient Talia Cherelle Lind
- Provider
- provider Marcelle Wunsch
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
0aa36257-00e8-ccfa-efe5-767420eeb813