Claim total
$93.39
base $93.39 · payer covered $93.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-27
- Stop
- 2014-03-27
The parties
- Patient
- patient Hosea Reyes Fay
- Provider
- provider Celestine Kutch
- Payer
- payer Aetna
Record id
1b836216-0e85-6d8a-dfc9-1df56ed8e94d