Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-31
- Stop
- 2014-03-31
The parties
- Patient
- patient Lynda Carissa Wiza
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
11b58047-9562-e585-3126-6db576b34731