Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 2020-05-02
- Stop
- 2020-05-02
The parties
- Patient
- patient Celestina Angle Mohr
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
30331ffd-6cb2-e716-a573-e1f3b7a7ac63