Claim total
$754.64
base $93.39 · payer covered $603.70
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2024-10-04
- Stop
- 2024-10-04
The parties
- Patient
- patient Shon Treutel
- Provider
- provider Gerardo Cruickshank
- Payer
- payer Medicare
Record id
22038bd6-13c2-0b0a-3304-78e7dadc3990