Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-03
- Stop
- 2014-04-03
The parties
- Patient
- patient Normand Lucien Harris
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
161d8071-f429-ba77-c54f-87ebb3cb7cac