Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 1996-08-10
- Stop
- 1996-08-10
The parties
- Patient
- patient Raven Julieta Johnson
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
1c0fdca8-d5a1-2af7-8f67-f72f34bdddf8