Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 2018-03-05
- Stop
- 2018-03-05
The parties
- Patient
- patient Lizette Ardella Dicki
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
31c17b80-43b3-1002-0dd0-a8e551418000