Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2026-01-04
- Stop
- 2026-01-04
The parties
- Patient
- patient Henriette Bambi Mayer
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
2027a6d3-dc36-b4dd-3851-fb3f3738042b