Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Chronic pain82423001
- Start
- 2025-03-25
- Stop
- 2025-03-25
The parties
- Patient
- patient Juan Tracy Lesch
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
3b4291c0-adc4-b6fd-5621-1a122b247959