Claim total
$1,388.98
base $93.39 · payer covered $1,111.18
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2020-03-24
- Stop
- 2020-03-24
The parties
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-e386-d1e292828d59