Claim total
$877.86
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1996-12-30
- Stop
- 1996-12-30
The parties
- Patient
- patient Maybelle Pansy Buckridge
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
2db4e680-0037-4778-88cb-53ba33ef8002