Claim total
$754.64
base $93.39 · payer covered $417.30
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2024-09-15
- Stop
- 2024-09-15
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Viva Heathcote
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-180b-5b5a06e49784