Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2021-10-03
- Stop
- 2021-10-03
The parties
- Patient
- patient Russell Spencer
- Provider
- provider Charlie Tillman
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Humana
Record id
3a2f7751-030d-58ef-8d9c-b6738bf72e9b