Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Osteoarthritis of knee239873007
- Start
- 2000-12-15
- Stop
- 2000-12-15
The parties
- Patient
- patient Noble Ivan Daugherty
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
385648af-cda5-c7a6-00e0-50fd1e6b9aab