Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-02-06
- Stop
- 2014-02-06
The parties
- Patient
- patient Carolynn Georgeann Lesch
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
155337b4-7ad2-87d7-38ce-16f4da24ee7b