Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-24
- Stop
- 2014-03-24
The parties
- Patient
- patient Devin Linnea Lowe
- Provider
- provider Jacquelyne Skiles
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
2f0eca3c-3bd2-7c3b-7bb2-9a0d2af746f5