Claim total
$1,304.63
base $93.39 · payer covered $1,269.63
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2021-06-11
- Stop
- 2021-06-11
The parties
- Patient
- patient Jewel Chi Harris
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
05c57aa9-c3e8-2f04-bf5b-982eb346b48e