Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-02-05
- Stop
- 2014-02-05
The parties
- Patient
- patient Nana Earlean Kuphal
- Provider
- provider Celestine Kutch
- Payer
- payer Medicaid
Record id
01077a3b-80bd-4b83-63d4-f40a022d8e3c