Claim total
$13,879.87
base $93.39 · payer covered $10,917.48
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2000-10-16
- Stop
- 2000-10-16
The parties
- Patient
- patient Mireya Bode
- Provider
- provider Lilia Montañez
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
04f53306-ad14-544b-46aa-d2decefe700e