Claim total
$1,388.98
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 1988-12-26
- Stop
- 1988-12-27
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Lilia Montañez
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
058279b6-7701-4823-053c-65713bed403c