Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-21
- Stop
- 2014-03-21
The parties
- Patient
- patient Lennie Dannette Jerde
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicare
Record id
14e0014e-0650-d844-70a0-4a5fb9da0230