Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2025-06-26
- Stop
- 2025-06-26
The parties
- Patient
- patient Ruben Dorian Schaefer
- Provider
- provider Harold Hagenes
- Payer
- payer No insurance
Record id
1a4a2030-0e50-02f5-d24c-5c167719dc39