Claim total
$93.39
base $93.39 · payer covered $44.48
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2013-04-27
- Stop
- 2013-04-27
The parties
- Patient
- patient Latoyia Runolfsdottir
- Provider
- provider Alesia Douglas
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
251b2d21-b2f3-af19-86e6-e0cfb31ecd43