Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2019-01-19
- Stop
- 2019-01-19
The parties
- Patient
- patient Eda So Mante
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer UnitedHealthcare
Record id
2a79084b-df5c-41f9-c64b-1d4359d54e91