Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2004-10-15
- Stop
- 2004-10-15
The parties
- Patient
- patient Cory Irwin Bergnaum
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Medicaid
Record id
0a80947b-a6e7-a756-95f6-397c5d3347d7