Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-22
- Stop
- 2014-03-22
The parties
- Patient
- patient Moshe Danilo Schoen
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicare
Record id
12e72ee6-8b43-3f6b-df6d-107e78a9a01d