Claim total
$1,687.41
base $93.39 · payer covered $1,349.92
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2025-02-03
- Stop
- 2025-02-03
The parties
- Patient
- patient Jewel Chi Harris
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
05c57aa9-c3e8-2f04-8fba-482df1dec856