Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-06
- Stop
- 2014-04-06
The parties
- Patient
- patient Ronnie Cristopher Kuphal
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
33a05bd5-edb9-cc9d-084e-1c20002bd94f