Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 1999-04-07
- Stop
- 1999-04-07
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-002e-3df109a72cec