Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-01
- Stop
- 2014-04-01
The parties
- Patient
- patient Ignacio Valentin Thiel
- Provider
- provider Bryanna Zieme
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Aetna
Record id
1a3239f1-ef20-fa58-33e7-141296904273