Claim total
$8,917.74
base $93.39 · payer covered $7,134.19
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2024-04-14
- Stop
- 2024-04-14
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-9148-445a482be56a