Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 1992-03-04
- Stop
- 1992-03-04
The parties
- Patient
- patient Rosalind Gertude Olson
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
30209f9b-1d78-f7a0-840d-77431a82a6e3