Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2018-02-08
- Stop
- 2018-02-08
The parties
- Patient
- patient Benton Terrance Mills
- Provider
- provider Adrienne Hills
- Payer
- payer Medicaid
Record id
2549a80c-7eed-22f1-ef59-3ccf41bc11f5