Claim total
$1,800.28
base $93.39 · payer covered $1,440.22
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 1999-04-09
- Stop
- 1999-04-09
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-28ce-e794bb512591