Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-24
- Stop
- 2014-03-24
The parties
- Patient
- patient Ezekiel Demarcus Roob
- Provider
- provider Corrina Paucek
- Payer
- payer Medicaid
Record id
2e1a22fb-46ba-3fcc-5956-11787e545821