Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 1990-03-22
- Stop
- 1990-03-22
The parties
- Patient
- patient Eloy Mosciski
- Provider
- provider Rosio Gleason
- Payer
- payer Dual Eligible
Record id
22bf68a7-fc86-adb6-999d-ff56c2732fd9