Claim total
$1,388.98
base $93.39 · payer covered $491.50
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2007-11-09
- Stop
- 2007-11-09
The parties
- Patient
- patient Jared Lenard Hansen
- Provider
- provider Lilia Montañez
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Aetna
Record id
047ee4ec-c50b-b504-a84b-9d6a3bff3f63