Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2024-06-28
- Stop
- 2024-06-28
The parties
- Patient
- patient Emile Lawerence Lesch
- Provider
- provider Trinity Mraz
- Payer
- payer Medicaid
Record id
2fda87fd-29fd-b4f1-7a82-dabe854642cc