Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-08
- Stop
- 2014-04-08
The parties
- Patient
- patient Carolynn Georgeann Lesch
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
155337b4-7ad2-87d7-abdd-590b8b6906ce