Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2021-10-14
- Stop
- 2021-10-14
The parties
- Patient
- patient Mirta Nakisha Franecki
- Provider
- provider Pasquale Grimes
- Payer
- payer Medicaid
Record id
05902870-85f1-fda1-dab0-d697bd63aa01