Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 1995-12-01
- Stop
- 1995-12-01
The parties
- Patient
- patient Mitsue Sipes
- Provider
- provider Marcus Douglas
- Payer
- payer No insurance
Record id
12bc3113-50d7-c8ca-157e-7807b5121e56