Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 2005-11-29
- Stop
- 2005-11-29
The parties
- Patient
- patient Daniele Caryl Stracke
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
1727d1fa-71e1-4195-6671-f3f9a82bf64f