Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2021-08-12
- Stop
- 2021-08-12
The parties
- Patient
- patient Fredericka Eusebia Fadel
- Provider
- provider Yasmine Shanahan
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
241eb205-3dd5-3858-527c-2da22f735371