Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2011-12-28
- Stop
- 2011-12-28
The parties
- Patient
- patient Nadine Jennette Blanda
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
2fd4d5da-96ab-f21b-2dc7-b8bfdef16274