Claim total
$1,606.27
base $93.39 · payer covered $1,571.27
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2026-01-17
- Stop
- 2026-01-17
The parties
- Patient
- patient Francisco Barton Beahan
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
11955095-c3cb-a03d-5207-3b81105c64fc