Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 390906007
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2014-04-09
- Stop
- 2014-04-09
The parties
- Patient
- patient Sherrie McLaughlin
- Provider
- provider Joshua Dickens
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
3ac05078-eaa5-56d0-d9b0-11db9738bd1d