Claim total
$1,388.98
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 1995-07-07
- Stop
- 1995-07-07
The parties
- Patient
- patient Shon Cesar Ebert
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
03d8f92f-53db-d7af-9240-3009f2fc2a56