Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2018-12-01
- Stop
- 2018-12-01
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Viva Heathcote
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-7ade-c924022e07d9