Claim total
$93.39
base $93.39 · payer covered $65.37
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-29
- Stop
- 2014-04-29
The parties
- Patient
- patient Alberto Bogisich
- Provider
- provider Pasquale Grimes
Record id
0b021865-9b35-acd2-3f78-de7e4cf73fd4