Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2023-08-10
- Stop
- 2023-08-10
The parties
- Patient
- patient Jewell Royal Krajcik
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
2f2181ad-74a6-3726-939b-7ae7656fbe7b