Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2021-04-26
- Stop
- 2021-04-26
The parties
- Patient
- patient Elmer Haley
- Provider
- provider Keneth Will
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Anthem
Record id
2e19198b-992b-c175-ead4-256414bebebe