Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-02
- Stop
- 2014-04-02
The parties
- Patient
- patient Cassandra Teofila Stamm
- Provider
- provider Jo Stiedemann
- Payer
- payer Cigna Health
Record id
39fcdcc4-3c12-057a-f716-baeb443b056b