Claim total
$35,390.82
base $93.39 · payer covered $35,390.82
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2018-01-14
- Stop
- 2018-01-14
The parties
- Patient
- patient Nichol Clara Predovic
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
0130f9d2-4df9-4b02-d63b-405031079463