Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2023-01-20
- Stop
- 2023-01-20
The parties
- Patient
- patient Santo Lucas Stracke
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
39fd323a-3e7b-6551-baef-a9a68a6a6d50