Claim total
$1,388.98
base $93.39 · payer covered $1,338.98
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 1970-01-31
- Stop
- 1970-02-01
The parties
- Patient
- patient Arthur Pablo Greenfelder
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
028512d5-49bb-87e7-40bb-4f9a1f3ad1b7