Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-18
- Stop
- 2014-04-18
The parties
- Patient
- patient Luigi Jakubowski
- Provider
- provider Eldon Conn
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
34909a24-77ed-f1db-6f80-afd3d4a14756