Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2019-07-07
- Stop
- 2019-07-07
The parties
- Patient
- patient Tomas Josh Larson
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
2f6a8fd0-a41d-4cac-8a22-31bd59cefe59