Claim total
$93.39
base $93.39 · payer covered $65.37
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-26
- Stop
- 2014-04-26
The parties
- Patient
- patient Aide Nikita Tromp
- Provider
- provider Garret Mohr
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Cigna Health
Record id
1bf3ce9c-466f-c894-d44f-1ea49fd629d1