Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2006-01-27
- Stop
- 2006-01-28
The parties
- Patient
- patient Nadine Marisa Schulist
- Provider
- provider Altagracia Rippin
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
11821ba3-1841-61c5-7ac0-c5b996c186c6