Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Localized, primary osteoarthritis of the hand201834006
- Start
- 1970-10-10
- Stop
- 1970-10-10
The parties
- Patient
- patient Andree Agatha Krajcik
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
115c2159-d4c7-04f2-e177-5d840fa5391d