Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Primary fibromyalgia syndrome95417003
- Start
- 2024-04-26
- Stop
- 2024-04-26
The parties
- Patient
- patient Vito Glenn Medhurst
- Provider
- provider Myriam Gislason
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
26ddb759-380a-cffb-de66-9e6f0eddf486