Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2016-08-28
- Stop
- 2016-08-28
The parties
- Patient
- patient Cortez Garfield Koss
- Provider
- provider Pa Kulas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
312bde18-66ba-4377-2eda-bbe5f3847847