Claim total
$13,359.84
base $76.30 · payer covered $13,324.84
The visit
- Class
- Emergency
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1992-03-10
- Stop
- 1992-03-10
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-f9c8-f79d6cf1ec58