Claim total
$2,043.62
base $93.39 · payer covered $1,634.88
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1999-05-07
- Stop
- 1999-05-07
The parties
- Patient
- patient Sherman Eli Wehner
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
3afc00a4-39f9-07a4-ce75-1f268240f113