Claim total
$8,885.02
base $127.17 · payer covered $2,692.34
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Myocardial infarction22298006
- Start
- 2024-04-28
- Stop
- 2024-04-29
The parties
- Patient
- patient Blake Rudolph Von
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Aetna
Record id
01986319-54e6-598a-da8b-8aa3de01355d