Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 2009-12-04
- Stop
- 2009-12-04
The parties
- Patient
- patient Tony Evan Lind
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Cigna Health
Record id
1ccbdc6a-138a-c811-2070-96f3dd715ab2