Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-28
- Stop
- 2014-03-28
The parties
- Patient
- patient Suzi Sydney Robel
- Provider
- provider Tyrone Stracke
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Dual Eligible
Record id
0804c552-c9d6-65d3-a2d3-90d8cb5001d0