Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2017-07-27
- Stop
- 2017-07-28
The parties
- Patient
- patient Adalberto Al Connelly
- Provider
- provider Alesia Douglas
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Cigna Health
Record id
0d29108a-1daf-b1af-158a-9b6967374adb