Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 1994-01-20
- Stop
- 1994-01-20
The parties
- Patient
- patient Pete Roberto Streich
- Provider
- provider Hazel Effertz
- Payer
- payer Medicare
Record id
29a638b7-ee8f-0f2e-4d48-82c6466c3a89