Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-21
- Stop
- 2014-03-21
The parties
- Patient
- patient Leif Darren West
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
04bc601b-5b17-3710-7d78-30422348802f