Claim total
$75.00
base $75.00 · payer covered $75.00
The visit
- Class
- Virtual
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2025-10-24
- Stop
- 2025-10-24
The parties
- Patient
- patient Trudy Olene Boyle
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Aetna
Record id
224e317b-5fe3-18df-f141-93b7c7a188d9