Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2024-09-27
- Stop
- 2024-09-27
The parties
- Patient
- patient Domingo Jeff Prosacco
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
39eb5ea2-5667-6205-46ea-40b99f6dd040