Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2017-10-23
- Stop
- 2017-10-23
The parties
- Patient
- patient Orville Everette Wiza
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
0c0a7153-7cec-9b16-73ba-803d4b6352bf