Claim total
$1,501.99
base $93.39 · payer covered $1,451.99
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2025-08-15
- Stop
- 2025-08-15
The parties
- Patient
- patient Ginger Jamie Feil
- Provider
- provider Clayton Aufderhar
- Payer
- payer Medicaid
Record id
291eef3f-a432-2174-68e1-42b335768c3f