Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Localized, primary osteoarthritis of the hand201834006
- Start
- 2009-01-28
- Stop
- 2009-01-28
The parties
- Patient
- patient Jesse Roosevelt Wolf
- Provider
- provider Letisha Graham
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
26aa011e-0d75-d1a3-773f-fca0ac62c21d