Claim total
$2,070.80
base $93.39 · payer covered $2,035.80
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1991-09-12
- Stop
- 1991-09-12
The parties
- Patient
- patient Susanna Avis Emard
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
0443166c-c803-503e-4345-966bf5de5042