Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2018-11-06
- Stop
- 2018-11-06
The parties
- Patient
- patient Celena Kim Champlin
- Provider
- provider Antonetta Lubowitz
- Payer
- payer Cigna Health
Record id
076b2127-cf52-7b65-5743-9f3c382932b2