Claim total
$1,002.60
base $93.39 · payer covered $967.60
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2021-08-18
- Stop
- 2021-08-18
The parties
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
28dc95ea-454e-cf3c-042e-370ebaf29ace