Claim total
$93.39
base $93.39 · payer covered $93.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-02
- Stop
- 2014-04-02
The parties
- Patient
- patient Dwain Lubowitz
- Provider
- provider Burton O'Conner
- Payer
- payer UnitedHealthcare
Record id
161a011f-815c-6571-7c41-5ae9c777a9c2