Claim total
$504.69
base $93.39 · payer covered $504.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2018-01-03
- Stop
- 2018-01-03
The parties
- Patient
- patient Nichol Clara Predovic
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
0130f9d2-4df9-4b02-adf3-0b9894b37793