Claim total
$8,163.22
base $76.30 · payer covered $6,530.55
The visit
- Class
- Emergency
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2018-03-16
- Stop
- 2018-03-16
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007ab53b-1293-c7a9-8165-7671caf701b9