Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 1994-02-12
- Stop
- 1994-02-12
The parties
- Patient
- patient Hubert Carey Donnelly
- Provider
- provider Hazel Effertz
- Payer
- payer No insurance
Record id
2d78cd30-6b9a-db6f-893a-5d5b39beab7e