Claim total
$93.39
base $93.39 · payer covered $56.03
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-02
- Stop
- 2014-04-02
The parties
- Patient
- patient Hilario Cummings
- Provider
- provider Hassie Beer
- Payer
- payer Humana
Record id
33fa4f73-1ac9-30f9-841f-ab9cd666b23b