Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2016-07-22
- Stop
- 2016-07-22
The parties
- Patient
- patient Leeanna Carylon Fadel
- Provider
- provider María Soledad Archuleta
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Anthem
Record id
2ada2143-53df-130a-aa15-4d5841cf262b