Claim total
$75.00
base $75.00 · payer covered $0.00
The visit
- Class
- Virtual
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2023-08-12
- Stop
- 2023-08-12
The parties
- Patient
- patient Garry Kenton Vandervort
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
105a5425-4355-e889-719a-07b002df8e48