Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-02
- Stop
- 2014-04-02
The parties
- Patient
- patient George Carrol Gutmann
- Provider
- provider Ramiro Boehm
- Payer
- payer UnitedHealthcare
Record id
2cc338ea-5e9c-b6be-4ad5-e9764696b62a