Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 1959-05-16
- Stop
- 1959-05-16
The parties
- Patient
- patient Nevada Wonda Konopelski
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
31d69929-3dc2-161a-2175-08d5b7f9629f