Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 1996-09-16
- Stop
- 1996-09-16
The parties
- Patient
- patient Lupe Isaiah Goyette
- Provider
- provider Artie Schultz
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer No insurance
Record id
0a09c8b4-1b33-f971-d725-cb796d2683db