Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 1970-10-10
- Stop
- 1970-10-10
The parties
- Patient
- patient Arvilla Cummings
- Provider
- provider Liz Kozey
- Payer
- payer Medicaid
Record id
20950ce0-88d5-8d6a-a831-2f23636fba07