Claim total
$1,327.29
base $93.39 · payer covered $1,061.83
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Aortic valve regurgitation60234000
- Start
- 1990-11-20
- Stop
- 1990-11-20
The parties
- Patient
- patient Glennis Juliana Borer
- Provider
- provider Jeromy Adams
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2886847e-da4b-74ed-11c6-efe3be2ef347