Claim total
$803.38
base $93.39 · payer covered $642.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2026-08-20
- Stop
- 2026-08-20
The parties
- Patient
- patient Reginald Nicholas Torp
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
30569de9-7593-beca-7a76-6ddb75c66930