Claim total
$1,489.40
base $93.39 · payer covered $1,191.51
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2015-10-12
- Stop
- 2015-10-12
The parties
- Patient
- patient Cyndy Thora Hackett
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
3a6342ed-106b-b99c-8f01-364d8b189946