Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2007-02-12
- Stop
- 2007-02-12
The parties
- Patient
- patient Dane Cyrus Prosacco
- Provider
- provider Artie Schultz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
08d84e2a-24fc-df43-2b54-cdf470f4e38c