Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-07-09
- Stop
- 2014-07-09
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Criselda Bartell
- Payer
- payer Dual Eligible
Record id
0324eea5-bb16-c29a-de13-8a00db2fb668