Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2019-01-08
- Stop
- 2019-01-08
The parties
- Patient
- patient Sherron Mohr
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0ceab98b-52e7-ab40-31e1-43fbfabd1dac