Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2020-01-18
- Stop
- 2020-01-18
The parties
- Patient
- patient Tawna Shirly Reilly
- Provider
- provider Chasidy Harris
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1894ea31-da3f-f986-8d9c-4bcb02860373