Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2006-10-09
- Stop
- 2006-10-09
The parties
- Patient
- patient Novella Aleta Bartell
- Provider
- provider Celesta Shields
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Aetna
Record id
253a50da-1cc7-1c38-2103-cafcebfcbe74