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
- 2005-03-21
- Stop
- 2005-03-21
The parties
- Patient
- patient Penny Shona Schaden
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
03e70281-0fa0-c7c6-30d2-aa4d0adc23b2