Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2018-01-09
- Stop
- 2018-01-09
The parties
- Patient
- patient Alva Kassulke
- Provider
- provider Hassie Beer
- Payer
- payer Humana
Record id
25786c4a-d11b-b815-c781-de139fb3584b