Claim total
$2,415.61
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2004-10-01
- Stop
- 2004-10-01
The parties
- Patient
- patient Ciera Sharell Koelpin
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
2addfeac-df52-3556-3032-db52d5358987