Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 1979-04-11
- Stop
- 1979-04-11
The parties
- Patient
- patient Carolann Vernia Kunze
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
283a3827-ad30-1b6b-525c-925962f51972