Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-22
- Stop
- 2014-03-22
The parties
- Provider
- provider Janette Fisher
- Payer
- payer Dual Eligible
Record id
04481159-34f8-6925-3b9a-391734cbbd26