Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-27
- Stop
- 2014-03-27
The parties
- Patient
- patient Clarence Sha Osinski
- Provider
- provider Adrienne Hills
- Payer
- payer Medicaid
Record id
1742504b-9d2c-1099-86f1-a95bd5bc8156