Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2021-07-22
- Stop
- 2021-07-22
The parties
- Patient
- patient Elmer Haley
- Provider
- provider Keneth Will
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Anthem
Record id
2e19198b-992b-c175-ca07-fe5ea5f89ba0