Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-02-02
- Stop
- 2014-02-02
The parties
- Patient
- patient Aaron Damian Monahan
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
2e41f5fb-baf0-ed26-4900-02d0ab3d4b68