Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-29
- Stop
- 2014-03-29
The parties
- Patient
- patient Vincenza Tobie Lynch
- Provider
- provider Shonta Hayes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
34ffbbb6-08c5-de08-07ab-b54f2cd329f8