Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 2023-08-01
- Stop
- 2023-08-01
The parties
- Patient
- patient Jere Neal Berge
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
1d7259f1-41e7-40b7-f15e-d6c090b0546f