Claim total
$5,016.99
base $76.30 · payer covered $4,981.99
The visit
- Class
- Emergency
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2021-12-08
- Stop
- 2021-12-09
The parties
- Patient
- patient Jewel Chi Harris
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
05c57aa9-c3e8-2f04-4058-4414b8b8cbe8