Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 2022-07-22
- Stop
- 2022-07-22
The parties
- Patient
- patient Lorenzo Ramiro Melgar
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
17370847-0ea5-3761-0fff-0f29861843a9