Claim total
$1,800.28
base $93.39 · payer covered $1,440.22
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2018-12-08
- Stop
- 2018-12-08
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Clayton Aufderhar
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-87ac-485375deefd2