Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 1968-04-11
- Stop
- 1968-04-11
The parties
- Patient
- patient Brendon Donnelly
- Provider
- provider Kim Lind
- Payer
- payer Medicaid
Record id
28e5fd76-511f-60bb-7339-184b124dfb25