Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-26
- Stop
- 2014-03-26
The parties
- Patient
- patient Reggie Angel Hamill
- Provider
- provider Catalina Weimann
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
19b483cc-30d8-0da1-0d3d-1c285e574ba2