Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-21
- Stop
- 2014-04-21
The parties
- Patient
- patient Simonne Karol Waters
- Provider
- provider Noreen Hudson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer No insurance
Record id
0bf434c4-3a7d-8f3d-0e66-bb3616b66299