Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2004-03-20
- Stop
- 2004-03-20
The parties
- Patient
- patient Alyson Trula Bernier
- Provider
- provider Jacquelyne Skiles
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
25c888b3-d617-8ac8-a1d1-ec21981b38ed