Claim total
$1,388.98
base $93.39 · payer covered $1,111.18
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2015-09-15
- Stop
- 2015-09-15
The parties
- Patient
- patient Colton Eloy Yost
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
00f38984-ead0-d444-ee5b-910181ffd6db