Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-14
- Stop
- 2014-03-14
The parties
- Patient
- patient Hyman Alfred Conroy
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
22a118a1-9bf6-cbe9-e62e-03592e0ef97f