Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Localized, primary osteoarthritis of the hand201834006
- Start
- 1999-06-09
- Stop
- 1999-06-09
The parties
- Patient
- patient Edgar Herzog
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
1f5e460e-a26c-0249-4c71-23d4e00cd95a