Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-03-26
- Stop
- 2014-03-26
The parties
- Patient
- patient Matthew Otis Herman
- Provider
- provider Keneth Will
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Aetna
Record id
3501ea6b-13e3-1b87-b16d-ca5c541cf291