Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2011-06-04
- Stop
- 2011-06-04
The parties
- Patient
- patient Milagros Lynetta Mertz
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
1102b012-744a-4940-f03f-8045d6347bd2