Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2017-01-11
- Stop
- 2017-01-11
The parties
- Patient
- patient Doris Heathcote
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
18a48ad3-860f-6d9d-0c38-db4afd2e9522