Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-20
- Stop
- 2014-03-20
The parties
- Patient
- patient Adrian Lauren McKenzie
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
17f016d2-a88a-bd03-aad8-a0673560b7d1