Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 1986-05-26
- Stop
- 1986-05-26
The parties
- Patient
- patient Buddy Bradly Bradtke
- Provider
- provider Burton O'Conner
- Payer
- payer Medicaid
Record id
207161b0-f503-ec70-6aec-5d2ea74b69be