Claim total
$1,327.29
base $93.39 · payer covered $1,277.29
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Aortic valve regurgitation60234000
- Start
- 2025-02-08
- Stop
- 2025-02-08
The parties
- Patient
- patient Xuan Clyde Glover
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
126205ae-f6d6-030f-8852-d6506943de97