Claim total
$813.01
base $93.39 · payer covered $487.80
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1990-11-20
- Stop
- 1990-11-20
The parties
- Patient
- patient Marcus Hickle
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
30e9a2c3-3140-d929-740c-4e8910d641fe