Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-24
- Stop
- 2014-03-24
The parties
- Patient
- patient Arvilla Cummings
- Provider
- provider Corrina Paucek
- Payer
- payer Medicaid
Record id
20950ce0-88d5-8d6a-3df9-7cd2d2cc55d1