Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2021-12-09
- Stop
- 2021-12-09
The parties
- Patient
- patient Martín Agustín Estrada
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
0c77f232-d1be-55d2-c05a-ecb50df7907a