Claim total
$2,512.09
base $93.39 · payer covered $2,009.66
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2024-03-04
- Stop
- 2024-03-04
The parties
- Patient
- patient Mignon Janay Johnson
- Provider
- provider Riley Walter
- Payer
- payer Medicare
Record id
0a37331a-7bd1-f3a9-a16e-d9cce369d07e