Claim total
$93.39
base $93.39 · payer covered $93.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2022-09-24
- Stop
- 2022-09-24
The parties
- Patient
- patient Perry Johnson Conn
- Provider
- provider Whitney Homenick
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
222e3254-e0eb-5bb2-fb5e-e240dbfdf73a