Claim total
$1,388.98
base $93.39 · payer covered $1,353.98
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2023-10-17
- Stop
- 2023-10-17
The parties
- Patient
- patient Basil Josef Bosco
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
03478e49-59cf-7140-c8e0-24a718b72397