Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2024-03-24
- Stop
- 2024-03-24
The parties
- Patient
- patient Ervin Toby VonRueden
- Provider
- provider Lilia Montañez
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
05cb9ca9-5092-9c9d-3153-f563034360cc