Claim total
$54,259.34
base $127.17 · payer covered $43,407.23
The visit
- Class
- Inpatient
- Code
- 397821002
- Reason
- diagnosis concept History of coronary artery bypass grafting399261000
- Start
- 1999-05-12
- Stop
- 1999-05-19
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-d4fc-4da1c32ca7d1