Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 1962-02-03
- Stop
- 1962-02-03
The parties
- Patient
- patient Perla Roseanne Herzog
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
1e76911d-0c60-0943-db3b-7e69cad9c55f