Claim total
$972.85
base $93.39 · payer covered $778.27
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2021-11-29
- Stop
- 2021-11-29
The parties
- Patient
- patient Domenic Brock Dach
- Provider
- provider Viva Heathcote
- Payer
- payer Medicare
Record id
19137cbd-9649-bf65-6602-0b6815e2cdb1