Claim total
$1,182.65
base $93.39 · payer covered $946.11
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2000-06-12
- Stop
- 2000-06-12
The parties
- Patient
- patient Max Don Farrell
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
255c6642-35d4-c675-0a8a-ac8c0618cb9b