Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 1977-03-09
- Stop
- 1977-03-09
The parties
- Patient
- patient Kallie Lynna Hagenes
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0a242b14-0437-1a7e-7805-76745873a512