Claim total
$837.16
base $93.39 · payer covered $787.16
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1978-01-04
- Stop
- 1978-01-04
The parties
- Patient
- patient Genaro Bogisich
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
18824347-e6f1-f9f3-6fa6-87580224bd8f