Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-02-02
- Stop
- 2014-02-02
The parties
- Patient
- patient Queenie Van Keebler
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
046b1f1e-c36f-c080-7cd3-0a022767956d