Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2023-05-31
- Stop
- 2023-05-31
The parties
- Patient
- patient Janetta Carisa Murphy
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0f64bcb5-b3ee-f26f-8e21-e0eb6ec3c441