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
- 2025-08-02
- Stop
- 2025-08-02
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-fc7b-b2380fd91f17