Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 2024-02-02
- Stop
- 2024-02-02
The parties
- Patient
- patient Seymour Corwin
- Provider
- provider Leta Sipes
- Payer
- payer Humana
Record id
106f5504-e2b7-19e0-45f4-ec1e0b359386