Claim total
$2,070.80
base $93.39 · payer covered $1,656.63
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2016-01-28
- Stop
- 2016-01-28
The parties
- Patient
- patient Joaquín Benjamín Rivero
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2d546f3c-e25a-6984-28bd-6357f013bcbd