Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2023-01-07
- Stop
- 2023-01-07
The parties
- Patient
- patient Williams Mauricio Boehm
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
28bac566-789e-d07d-7608-b7d0c157edc3