Claim total
$2,687.75
base $93.39 · payer covered $2,150.19
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2013-11-03
- Stop
- 2013-11-03
The parties
- Patient
- patient Ray Troy Osinski
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
1fd2fa7e-032c-24bf-6981-415cc23efd58