Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 1986-11-28
- Stop
- 1986-11-28
The parties
- Patient
- patient Ilse Tynisha Feest
- Provider
- provider Simon Bode
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
06d55723-a17e-fb1b-e96c-ac44ed7d3ee0