Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2004-11-19
- Stop
- 2004-11-19
The parties
- Patient
- patient Elidia McGlynn
- Provider
- provider Zofia Bosco
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
071acfc8-2154-ac43-2a22-50ed34aa5fbf