Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-01-31
- Stop
- 2014-01-31
The parties
- Provider
- provider Trinity Mraz
- Payer
- payer Medicare
Record id
17bc2196-5977-7a0f-6f17-8f53f7d41095