Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 1996-04-24
- Stop
- 1996-04-24
The parties
- Patient
- patient Leroy Donald Kuvalis
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
12ff2bdf-30d7-88b6-2d11-e991a8320e42