Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Localized, primary osteoarthritis of the hand201834006
- Start
- 2022-05-04
- Stop
- 2022-05-04
The parties
- Patient
- patient Gerardo Marvin Johns
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
01513b97-46a6-1303-2e98-590707493994