Claim total
$10,911.06
base $127.17 · payer covered $8,728.68
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2018-06-17
- Stop
- 2018-06-24
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007ab53b-1293-c7a9-dc97-4cfa658f320b