Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2023-04-15
- Stop
- 2023-04-15
The parties
- Patient
- patient Santiago Víctor Cavazos
- Provider
- provider Richard Ledner
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
157c2e9c-d23e-1a11-360e-1e049c9ccd13