Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-05-08
- Stop
- 2014-05-08
The parties
- Patient
- patient Wesley Aron Barton
- Provider
- provider Janette Fisher
- Payer
- payer Dual Eligible
Record id
2eb86dfb-4252-0570-88af-578111c93279