Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 1965-01-02
- Stop
- 1965-01-02
The parties
- Patient
- patient Princess Felisha Kub
- Provider
- provider Donette Hilpert
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
2918896c-6cc7-6a93-458b-2aa1f1fe0d82