Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2022-01-25
- Stop
- 2022-01-25
The parties
- Patient
- patient Mirta Nakisha Franecki
- Provider
- provider Burton O'Conner
- Payer
- payer Medicaid
Record id
05902870-85f1-fda1-a132-ecdc01139cea