Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2023-03-08
- Stop
- 2023-03-08
The parties
- Patient
- patient Hipolito Murray Harris
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
0cc68655-22f2-d830-28fd-ea8ffe9c2aea