Claim total
$1,431.54
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2003-04-05
- Stop
- 2003-04-05
The parties
- Patient
- patient Candyce Isabel Gutkowski
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
32da48b4-09cc-d935-8a40-0c49d753ae06