Claim total
$93.39
base $93.39 · payer covered $44.48
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Localized, primary osteoarthritis of the hand201834006
- Start
- 2015-08-27
- Stop
- 2015-08-27
The parties
- Patient
- patient Donita Kasandra Crooks
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
277f7208-da9a-7c08-a2b7-0de70a97d290