Claim total
$754.64
base $93.39 · payer covered $754.64
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2017-08-14
- Stop
- 2017-08-14
The parties
- Patient
- patient Merrill Isiah Kilback
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
0cdd8bf8-9e6d-8e54-f227-b603702fce58