Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2017-07-27
- Stop
- 2017-07-27
The parties
- Patient
- patient Arnulfo Garland Bins
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
1ba5d21e-35d3-3dde-21ae-ebfbba724023