Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2020-12-03
- Stop
- 2020-12-03
The parties
- Patient
- patient Joey Pollich
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
13f35bd9-1145-e409-4176-5c316af0c4e6