Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 1983-10-20
- Stop
- 1983-10-20
The parties
- Patient
- patient Roderick Carter
- Provider
- provider Letisha Graham
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
08fee322-deac-8f86-ef4a-1dbc9fcac69b