Claim total
$1,388.98
base $93.39 · payer covered $1,111.18
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2024-03-29
- Stop
- 2024-03-30
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-4b84-18985b8850f7