Claim total
$963.12
base $93.39 · payer covered $928.12
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2005-03-23
- Stop
- 2005-03-23
The parties
- Patient
- patient Ellis Gary Cronin
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
0c89b8f2-1b95-b082-c9b5-78ed8bb71935