Claim total
$1,388.98
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2015-05-25
- Stop
- 2015-05-25
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
0291d14d-46f7-a76b-83ac-2cfdb66dbddd