Claim total
$8,917.74
base $93.39 · payer covered $5,222.42
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2024-05-13
- Stop
- 2024-05-13
The parties
- Patient
- patient Leif Darren West
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
04bc601b-5b17-3710-3a56-0d98a54a5b4e