Claim total
$2,309.71
base $93.39 · payer covered $1,847.76
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2015-03-17
- Stop
- 2015-03-17
The parties
- Patient
- patient Kallie Lynna Hagenes
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0a242b14-0437-1a7e-7a14-254fab44c26e