Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-05-06
- Stop
- 2014-05-06
The parties
- Patient
- patient Rose Enola Mann
- Provider
- provider Janice Huel
- Payer
- payer Medicaid
Record id
0e253527-504c-e850-41c7-3abe9534ab73