Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-02-01
- Stop
- 2014-02-01
The parties
- Patient
- patient Laveta Russel
- Provider
- provider Stewart Cartwright
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Dual Eligible
Record id
01e64c71-bb1e-2212-f114-1c7a5b2cee6a