Claim total
$155.66
base $155.66 · payer covered $124.53
The visit
- Class
- Ambulatory
- Code
- 448337001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2018-04-29
- Stop
- 2018-04-29
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-c7a9-8f3d-2ebec66c89f0