Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2008-11-10
- Stop
- 2008-11-10
The parties
- Patient
- patient Hertha Conception Von
- Provider
- provider Wan Osinski
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
0d4ddbb6-9f39-9726-cd6c-e5baa4e60600