Claim total
$8,484.93
base $127.17 · payer covered $2,231.41
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Myocardial infarction22298006
- Start
- 1987-02-14
- Stop
- 1987-02-14
The parties
- Patient
- patient Raye Suzy Gusikowski
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
02c06e54-48b8-2b73-3d09-2888596fe0c2