Claim total
$1,388.98
base $93.39 · payer covered $1,111.18
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2009-03-18
- Stop
- 2009-03-18
The parties
- Patient
- patient Ethel McLaughlin
- Provider
- provider Clayton Aufderhar
- Payer
- payer Medicare
Record id
059a4886-0567-3ca6-5515-4bc622615514