Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2011-08-30
- Stop
- 2011-08-30
The parties
- Patient
- patient August Darrel Dach
- Provider
- provider Janette Fisher
- Payer
- payer Medicaid
Record id
092b8bdc-b84a-4582-2b04-179f7462c349