Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of hip239872002
- Start
- 2003-01-25
- Stop
- 2003-01-25
The parties
- Patient
- patient Su Vernie Kuhlman
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
22fea05c-650a-321a-c32f-d230c691a14b