Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 1996-10-16
- Stop
- 1996-10-16
The parties
- Patient
- patient Kizzy Blondell Hermann
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
0fa13c65-5aee-f679-87a2-9680931b8b50