Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-30
- Stop
- 2014-03-30
The parties
- Patient
- patient Santiago Guzmán
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
208dbdf9-fd6d-9022-b91f-099e6937bee7