Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-02-03
- Stop
- 2014-02-03
The parties
- Patient
- patient Amanda Kelsey Daugherty
- Provider
- provider Maryam Wolf
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
00a2ce2f-1e05-ab20-9674-e07e683a132f