Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2016-02-17
- Stop
- 2016-02-17
The parties
- Patient
- patient Quintin Antonia Schmidt
- Provider
- provider Burton O'Conner
- Payer
- payer Medicaid
Record id
0d7376e6-0f47-a329-63da-79b9f9fc1af4