Claim total
$1,388.98
base $93.39 · payer covered $1,353.98
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2026-05-05
- Stop
- 2026-05-05
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Lilia Montañez
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
03eafe4d-23cd-eb61-a64c-4c2c362c85b7