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
- 1999-04-20
- Stop
- 1999-04-20
The parties
- Patient
- patient Salina Takako Ondricka
- Provider
- provider Noreen Hudson
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicaid
Record id
15541585-3618-a727-bcaf-a79be1f135ce