Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2003-02-02
- Stop
- 2003-02-02
The parties
- Patient
- patient Solomon Amado Purdy
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
1e6fa6a9-1f41-5355-fc56-6dfc7535d46d