Claim total
$1,103.68
base $93.39 · payer covered $882.93
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2015-09-21
- Stop
- 2015-09-21
The parties
- Patient
- patient Jordan Darrel Hodkiewicz
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
26a1fd64-1e1f-4fc3-9b1b-b7d8ca00f6f1