Claim total
$1,484.21
base $93.39 · payer covered $1,187.36
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2016-01-03
- Stop
- 2016-01-03
The parties
- Patient
- patient Gaylene Adell Reynolds
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
34c15c13-e4f6-1b19-2679-7e718244b5fe