Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2023-05-16
- Stop
- 2023-05-16
The parties
- Patient
- patient Billie Petra Roberts
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
0de790e7-6ab1-0a6f-f0e9-f202000de09b