Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-22
- Stop
- 2014-03-22
The parties
- Patient
- patient Clay Joel Fisher
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
1eb91fa7-a26b-0e95-f9a7-ced675549d6d