Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-13
- Stop
- 2014-03-13
The parties
- Patient
- patient Adina Jerlene Baumbach
- Provider
- provider Lynn Cummings
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
13decf1b-6d14-8aef-58c2-11b675489d4a