Claim total
$11,886.36
base $93.39 · payer covered $11,851.36
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2023-11-05
- Stop
- 2023-11-05
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
03478e49-59cf-7140-02c1-52ee59054179