Claim total
$22,654.43
base $93.39 · payer covered $18,123.54
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2018-12-12
- Stop
- 2018-12-12
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Clayton Aufderhar
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-570a-e838493fe556