Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2000-06-26
- Stop
- 2000-06-26
The parties
- Patient
- patient Jeramy Quitzon
- Provider
- provider Kelvin Reichel
- Payer
- payer Medicaid
Record id
39ff36a1-4189-afbb-69ae-092d81771b1d