Claim total
$1,979.10
base $93.39 · payer covered $1,583.25
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2024-03-03
- Stop
- 2024-03-03
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Clayton Aufderhar
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-2c23-6511d3565a5e