Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-27
- Stop
- 2014-03-27
The parties
- Patient
- patient Lavelle Rufina Conn
- Provider
- provider Michael Dibbert
- Payer
- payer Cigna Health
Record id
18ade4c0-e8ba-7cd6-6633-9250146459a1