Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-08
- Stop
- 2014-04-08
The parties
- Patient
- patient Minta Ashley Bradtke
- Provider
- provider Laurence Mosciski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Humana
Record id
30e44971-6530-f6f8-455f-495b9bc5fcdc