Claim total
$93.39
base $93.39 · payer covered $65.37
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2017-01-18
- Stop
- 2017-01-18
The parties
- Patient
- patient Darryl Rosendo Johnston
- Provider
- provider Georgetta Kohler
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
37d59dbe-6090-c49b-7044-e348c6c338a1