Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2017-02-18
- Stop
- 2017-02-18
The parties
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
29790e37-febf-6fb2-3966-946a981f88e3