Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-10
- Stop
- 2014-04-10
The parties
- Patient
- patient Weldon Normand Rohan
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
07811815-599c-8e38-2f5a-3c9f444b53b4