Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2012-06-22
- Stop
- 2012-06-22
The parties
- Patient
- patient Shandra Rosalina Wyman
- Provider
- provider Carmen Olson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
32f5456f-364a-5a66-1b82-19b28d99c503