Claim total
$1,354.56
base $93.39 · payer covered $1,083.64
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2025-05-28
- Stop
- 2025-05-28
The parties
- Patient
- patient Tory Lakin
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0ce9d086-2cd3-94e4-3404-38bdaf4eaac3