Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2021-02-28
- Stop
- 2021-02-28
The parties
- Patient
- patient Rudolph Luke Bergnaum
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
06a268ae-5b18-4c76-eada-5e786531ebe4