Claim total
$855.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1999-08-10
- Stop
- 1999-08-10
The parties
- Patient
- patient Floyd Jarvis Dooley
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
12286c1e-ee5b-ddc5-90a2-290df78bbf2e