Claim total
$754.64
base $93.39 · payer covered $603.70
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2010-04-27
- Stop
- 2010-04-27
The parties
- Patient
- patient Dannie Timmy Koepp
- Provider
- provider Viva Heathcote
- Payer
- payer Medicare
Record id
25f2b1e8-809d-dfd9-aa5c-95b348556d5e