Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 2011-10-16
- Stop
- 2011-10-16
The parties
- Patient
- patient Matt Nitzsche
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
11bc85b9-5a20-dc01-fbb2-bfcae30272a7