Claim total
$4,408.81
base $76.30 · payer covered $3,527.02
The visit
- Class
- Emergency
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2001-04-30
- Stop
- 2001-04-30
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-89f2-317e3689fa3b