Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2021-09-23
- Stop
- 2021-09-23
The parties
- Patient
- patient Sterling Eugenio Osinski
- Provider
- provider Eldon Conn
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
1ffa429d-4447-d14e-ef0f-22b2f41fd85e