Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-28
- Stop
- 2014-04-28
The parties
- Patient
- patient Ines Shiloh Jacobi
- Provider
- provider Lynn Cummings
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
25075e04-8a2f-41db-884d-0081029bce92