Claim total
$93.39
base $93.39 · payer covered $56.03
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-01
- Stop
- 2014-04-01
The parties
- Patient
- patient Gisela Alexander Yost
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
1a7dfad4-d894-171e-62a1-df3588319bbe