Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-16
- Stop
- 2014-04-16
The parties
- Patient
- patient Woodrow Brett Bruen
- Provider
- provider Rosio Gleason
- Payer
- payer Dual Eligible
Record id
19bee1be-920a-c2f2-15e7-d19b9e309541