Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-13
- Stop
- 2014-04-13
The parties
- Patient
- patient Roosevelt Schoen
- Provider
- provider Trinity Mraz
- Payer
- payer Medicare
Record id
1c4df395-4260-e105-4243-579e9dcc23f9