Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2015-07-04
- Stop
- 2015-07-04
The parties
- Patient
- patient Graham Desmond Jones
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Humana
Record id
210e7241-3e4f-dfd5-4ed8-aee41b2a5dab