Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2005-07-18
- Stop
- 2005-07-18
The parties
- Patient
- patient Erwin Eli Hackett
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
24f27ab5-b47f-0e8d-a748-42a2fd37cffb