Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-18
- Stop
- 2014-03-18
The parties
- Patient
- patient Kamala Berge
- Provider
- provider Hassie Beer
- Payer
- payer Medicaid
Record id
298d869d-d937-6799-5610-c3dba82dc2d8