Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-02-05
- Stop
- 2014-02-05
The parties
- Patient
- patient Sandy Salvador Will
- Provider
- provider Alonso Hackett
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
05317da0-053c-0c68-f3df-a9395f5544da