Claim total
$5,528.74
base $127.17 · payer covered $5,478.74
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Myocardial infarction22298006
- Start
- 2024-12-07
- Stop
- 2024-12-07
The parties
- Patient
- patient Wilson Teodoro Kihn
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
04540647-5ff4-de4a-10d4-5c8382fae500