Claim total
$1,011.41
base $93.39 · payer covered $606.84
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2014-04-07
- Stop
- 2014-04-07
The parties
- Patient
- patient Agnes Dietrich
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
270ef1b8-bd71-e9bb-a282-bb242f2d2e4a