Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2017-11-20
- Stop
- 2017-11-20
The parties
- Patient
- patient Andreas Connelly
- Provider
- provider Burton O'Conner
- Payer
- payer No insurance
Record id
1b260b8e-663e-b045-a8d0-42cb0a83025d