Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 1958-04-22
- Stop
- 1958-04-22
The parties
- Patient
- patient Len Wilbert Windler
- Provider
- provider Andria Spinka
- Payer
- payer Medicaid
Record id
161124e8-a4e5-2a23-8bff-70748b0f9225