Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Primary fibromyalgia syndrome95417003
- Start
- 2018-06-24
- Stop
- 2018-06-24
The parties
- Patient
- patient Cleopatra Bechtelar
- Provider
- provider Noe Hills
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2ac52291-c2c9-0ab9-c6d8-c6422d64d34e