Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-02
- Stop
- 2014-04-02
The parties
- Provider
- provider Adrienne Hills
- Payer
- payer Dual Eligible
Record id
2d46927f-3540-85ed-9a0d-18db600c8244