Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-16
- Stop
- 2014-04-16
The parties
- Patient
- patient Lorenzo Alberto Upton
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0c0591a9-0f49-c13a-0237-1333e51728c7