Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2022-09-19
- Stop
- 2022-09-19
The parties
- Patient
- patient Demetrius Kellye Brown
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
34d00a16-aef5-c007-8535-25c77942b6fa