Claim total
$2,089.01
base $93.39 · payer covered $1,671.20
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2010-08-15
- Stop
- 2010-08-15
The parties
- Patient
- patient Luba Aurora Lind
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
3ac473f7-cf22-bcad-a6f5-6b48a2516897