Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 1989-07-15
- Stop
- 1989-07-15
The parties
- Patient
- patient Joan Donnie Quitzon
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
056f2732-3438-a432-bbd6-4cfdf9295793