Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2019-05-16
- Stop
- 2019-05-16
The parties
- Patient
- patient Herbert Erdman
- Provider
- provider Jo Stiedemann
- Payer
- payer Medicaid
Record id
2db0340b-931f-14bc-7c96-008710918164