Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2012-04-19
- Stop
- 2012-04-19
The parties
- Patient
- patient Audie Akiko Brakus
- Provider
- provider Ignacio Paredes
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
2cc6ebbd-677c-12d9-eae3-629e9cabac93