Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-28
- Stop
- 2014-03-28
The parties
- Patient
- patient Joaquín Benjamín Rivero
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2d546f3c-e25a-6984-f476-1284b12b9f94