Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 1998-11-20
- Stop
- 1998-11-20
The parties
- Patient
- patient Penny Shona Schaden
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
03e70281-0fa0-c7c6-d123-e6c748a44b59