Claim total
$75.00
base $75.00 · payer covered $25.00
The visit
- Class
- Virtual
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2023-01-08
- Stop
- 2023-01-08
The parties
- Patient
- patient Abraham Sal Schroeder
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicaid
Record id
1e00f4b9-9e28-52cb-8b3d-02465f4cf2b4