Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2017-09-07
- Stop
- 2017-09-07
The parties
- Patient
- patient Maximo Keenan Hane
- Provider
- provider Pa Kulas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1cfe24fb-8d11-3471-1877-20b3c318cfeb