Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2023-04-26
- Stop
- 2023-04-26
The parties
- Patient
- patient Dominic Christian Metz
- Provider
- provider Morgan Crona
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
14ebfd5c-f9ec-ad2c-d557-5ad2864bf496