Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-15
- Stop
- 2014-03-15
The parties
- Patient
- patient Hiram Dillon Lind
- Provider
- provider Adrienne Hills
- Payer
- payer Medicaid
Record id
24c3fed1-e126-e512-d3d4-fc7758b5b495