Claim total
$1,403.91
base $93.39 · payer covered $1,123.12
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2023-04-24
- Stop
- 2023-04-24
The parties
- Patient
- patient Danilo Volkman
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
36724fda-fdcf-8680-01ed-e6c5af18dead