Claim total
$93.39
base $93.39 · payer covered $44.48
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2024-02-19
- Stop
- 2024-02-19
The parties
- Patient
- patient Shaneka Katheleen Grady
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
302f7405-9f23-5548-d0ed-55fb8f505eb9