Claim total
$93.39
base $93.39 · payer covered $65.37
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-23
- Stop
- 2014-03-23
The parties
- Patient
- patient Rosa Mónica Zapata
- Provider
- provider Celestine Kutch
Record id
135b2c6c-3714-646c-0ef7-d91cef88155b