Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 2010-09-29
- Stop
- 2010-09-29
The parties
- Patient
- patient Sade Kassie Aufderhar
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
24f4a8d9-e64c-e3ef-de49-b08abc3782cb