Claim total
$1,557.96
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1975-05-09
- Stop
- 1975-05-09
The parties
- Patient
- patient Sharell Herma Schaden
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
19f98f29-fa6f-31a8-4b75-e37e59a0ffa3