Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2024-12-11
- Stop
- 2024-12-11
The parties
- Patient
- patient Ty Cameron Koelpin
- Provider
- provider Garret Mohr
- Care site
- care site NORTH MEMORIAL HEALTH CARE
Record id
23667586-d67c-33d2-13a1-944378579e8a