Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-02
- Stop
- 2014-04-02
The parties
- Patient
- patient Curtis Aubrey Howe
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
10d92ea2-fcd5-f0bc-361d-c6265da55ca3