Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2026-06-09
- Stop
- 2026-06-09
The parties
- Patient
- patient Xuan Clyde Glover
- Provider
- provider Janette Fisher
- Payer
- payer Dual Eligible
Record id
126205ae-f6d6-030f-a09c-b7b787e85f8f