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
- 2012-01-30
- Stop
- 2012-01-30
The parties
- Patient
- patient Raylene Edris Parisian
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
298344b3-dd31-0e7f-f08e-e94cadcc09cc