Claim total
$93.39
base $93.39 · payer covered $93.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-05-24
- Stop
- 2014-05-24
The parties
- Patient
- patient Slyvia Kymberly Dibbert
- Provider
- provider Harold Hagenes
- Payer
- payer Humana
Record id
1263b62e-c014-f602-63e4-1a4ac49dcf8f