Claim total
$754.64
base $93.39 · payer covered $452.78
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2014-08-29
- Stop
- 2014-08-29
The parties
- Patient
- patient Jeffry Zack Metz
- Provider
- provider Gerardo Cruickshank
- Payer
- payer Aetna
Record id
29af2f86-72b0-a027-bdaf-2dc058d0fca5