Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2016-02-20
- Stop
- 2016-02-20
The parties
- Patient
- patient Jerrell Alphonso Goodwin
- Provider
- provider Trinity Mraz
- Payer
- payer Medicare
Record id
1e1c547c-f108-6b5c-de92-e105a2fedf82