Claim total
$125.00
base $125.00 · payer covered $100.00
The visit
- Class
- Virtual
- Code
- 448337001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2018-06-25
- Stop
- 2018-06-25
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007ab53b-1293-c7a9-3663-8ee2cf7a3b67