Claim total
$4,489.18
base $93.39 · payer covered $4,489.18
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2017-09-03
- Stop
- 2017-09-03
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
007ab53b-1293-c7a9-4c32-37dd455861c2