Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-08-21
- Stop
- 2014-08-21
The parties
- Patient
- patient Cyril Lyman Flatley
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
38cacc0d-eb65-0637-882b-e22ed09b7a4f