Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2023-06-22
- Stop
- 2023-06-22
The parties
- Patient
- patient Lorena Marilu Paredes
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0a28d644-c9bb-51b3-3db8-a007c95388ee