Claim total
$1,550.17
base $93.39 · payer covered $1,515.17
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1981-02-04
- Stop
- 1981-02-04
The parties
- Patient
- patient Arthur Pablo Greenfelder
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
028512d5-49bb-87e7-f8f2-421c4ecd169a