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 Teodoro Watsica
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
377468ea-eae6-c638-8d5f-3bbb69d0949c