Claim total
$4,408.81
base $76.30 · payer covered $3,340.62
The visit
- Class
- Emergency
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2025-09-10
- Stop
- 2025-09-10
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Viva Heathcote
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-23c8-8e5b549439d8