Claim total
$915.99
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Adolescent idiopathic scoliosis203646004
- Start
- 1979-11-14
- Stop
- 1979-11-14
The parties
- Patient
- patient Korey Lester Williamson
- Provider
- provider Elliott Rogahn
- Payer
- payer No insurance
Record id
02695016-2813-6239-7c6d-c508869581e5