Claim total
$1,371.59
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2005-06-22
- Stop
- 2005-06-22
The parties
- Patient
- patient Mitsue Sipes
- Provider
- provider Clayton Aufderhar
- Payer
- payer No insurance
Record id
12bc3113-50d7-c8ca-b1ba-2fca37b8e311