Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2023-01-15
- Stop
- 2023-01-15
The parties
- Patient
- patient Karon Koelpin
- Provider
- provider Pasquale Grimes
- Payer
- payer Cigna Health
Record id
223d4220-b8bd-0490-4247-82711666b68f