Claim total
$2,033.15
base $93.39 · payer covered $1,626.51
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2013-10-21
- Stop
- 2013-10-21
The parties
- Patient
- patient Robbyn Tyesha Lynch
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
1fca128b-2fe3-7e2a-2cfd-61447889300c