Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Primary fibromyalgia syndrome95417003
- Start
- 1999-11-08
- Stop
- 1999-11-08
The parties
- Patient
- patient Belva Sau Barrows
- Provider
- provider Karl Stokes
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
1625e802-c261-3bac-e07b-7e3701031f62