Claim total
$157.11
base $93.83 · payer covered $125.68
The visit
- Class
- Wellness
- Code
- 308646001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2001-05-17
- Stop
- 2001-05-17
The parties
- Patient
- patient Mireya Bode
- Provider
- provider Douglas Will
- Payer
- payer Medicare
Record id
04f53306-ad14-544b-18e0-2966878e511e