Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-02-02
- Stop
- 2014-02-02
The parties
- Patient
- patient Agnus Jaskolski
- Provider
- provider Winford Nader
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
00bd0ed6-396a-5390-5b9f-b8a17016e3af