Claim total
$93.39
base $93.39 · payer covered $56.03
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-30
- Stop
- 2014-04-30
The parties
- Patient
- patient Ardis Harvey
- Provider
- provider Letisha Graham
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
06f1d056-d0e6-cc8e-4733-467d4578462e