Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-15
- Stop
- 2014-03-15
The parties
- Patient
- patient Daniel Carlos Acosta
- Provider
- provider Janice Huel
- Payer
- payer Medicare
Record id
1bc96a10-ad49-d71d-02fd-122d12f8db36