Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 1973-04-19
- Stop
- 1973-04-19
The parties
- Patient
- patient Ivory Sang Bergnaum
- Provider
- provider Trinidad Quitzon
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
27eacba2-3581-8cec-50df-961a89535767