Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-04
- Stop
- 2014-04-04
The parties
- Patient
- patient Mabelle Anya Turcotte
- Provider
- provider Tiffany Smitham
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
19dcab1f-cc70-7854-88ee-a4e8507476f0