Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 2026-02-27
- Stop
- 2026-02-27
The parties
- Patient
- patient Carmen Ramona Fonseca
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
2cc6efe0-8e4a-8ccd-f4a2-d27138b2ea6b