Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 1969-11-23
- Stop
- 1969-11-23
The parties
- Patient
- patient Hans Marion Kuvalis
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
107d0674-dc76-cfa0-670e-df13be903a80