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
- 2015-12-01
- Stop
- 2015-12-01
The parties
- Patient
- patient Simon Frederic Gulgowski
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
034c4f48-8c73-4f35-e971-b5b8adc3c111