Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2025-06-16
- Stop
- 2025-06-16
The parties
- Patient
- patient Abraham Mante
- Provider
- provider Pasquale Grimes
- Payer
- payer Medicare
Record id
1abdafbd-dcc9-f667-0902-f0e50d045ebb