Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2014-09-15
- Stop
- 2014-09-15
The parties
- Patient
- patient Jeanmarie Jann Bogisich
- Provider
- provider Leta Sipes
- Payer
- payer Medicare
Record id
17e1c4cb-44e4-7484-2b70-e224476ba5c2