Claim total
$93.39
base $93.39 · payer covered $93.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2011-04-03
- Stop
- 2011-04-03
The parties
- Patient
- patient Roselee Katharina Brown
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Cigna Health
Record id
355d5f82-4db9-11d6-4e2e-9aa072e80a3a