Claim total
$93.39
base $93.39 · payer covered $93.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2022-09-22
- Stop
- 2022-09-22
The parties
- Patient
- patient Yung Keitha Mann
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
21d55a0e-d815-8203-769f-82364ea934cc