Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 1991-08-29
- Stop
- 1991-08-29
The parties
- Patient
- patient Jamison Alvin Bergstrom
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
33741f48-9c23-8cfc-78fc-db02629eb1cb