Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 1998-05-19
- Stop
- 1998-05-19
The parties
- Patient
- patient Logan Stuart Hettinger
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
2f6f1d59-7737-7d41-e4cf-9012383dfffb