Claim total
$1,034.36
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1976-05-28
- Stop
- 1976-05-28
The parties
- Patient
- patient Fredrick Vito Pagac
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
18ec6897-232a-8579-697d-038bbd042f8d