Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2022-07-06
- Stop
- 2022-07-06
The parties
- Patient
- patient Perry Johnson Conn
- Provider
- provider Alesia Douglas
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
222e3254-e0eb-5bb2-f955-c7a30199cd1b