Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 2011-08-17
- Stop
- 2011-08-17
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Rosio Gleason
- Payer
- payer Medicaid
Record id
0324eea5-bb16-c29a-704f-0e1010ebf261