Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2023-08-22
- Stop
- 2023-08-22
The parties
- Patient
- patient Billie Petra Roberts
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
0de790e7-6ab1-0a6f-5bc0-8aa32788e65e