Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2022-09-29
- Stop
- 2022-09-29
The parties
- Patient
- patient Walter Rudolph Little
- Provider
- provider Harold Hagenes
- Payer
- payer Medicaid
Record id
361a4d7c-124b-a34d-58f4-8c6544d556da