Claim total
$832.90
base $93.39 · payer covered $797.90
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2020-12-01
- Stop
- 2020-12-02
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-c3e8-2f04-6e48-f80f24ebc037