Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2018-04-26
- Stop
- 2018-04-27
The parties
- Patient
- patient Ernesto Francisco Mateo
- Provider
- provider Celestine Kutch
- Payer
- payer Humana
Record id
2212eeed-4106-183a-c58e-0ef8a60e6067