Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2015-09-25
- Stop
- 2015-09-25
The parties
- Patient
- patient Ellis Dooley
- Provider
- provider Celestine Kutch
- Payer
- payer Humana
Record id
102ec4ce-836b-a335-f225-9ddc2502d041