Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Primary fibromyalgia syndrome95417003
- Start
- 2018-05-06
- Stop
- 2018-05-06
The parties
- Patient
- patient Stormy Sarah Labadie
- Provider
- provider Noe Hills
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
264e53b0-38e2-c118-6f93-fe67d521d236