Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-31
- Stop
- 2014-03-31
The parties
- Patient
- patient Annalisa Laura McClure
- Provider
- provider Rudolf Wolff
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
2047f24a-2c3c-42e4-891a-cd7e02a8d08d