Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-07
- Stop
- 2014-04-07
The parties
- Patient
- patient Haley Champlin
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
2934bf75-9350-c6bc-f3e7-9ea0b1dc6818