Claim total
$1,772.37
base $127.17 · payer covered $1,737.37
The visit
- Class
- Inpatient
- Code
- 305342007
- Reason
- diagnosis concept History of coronary artery bypass grafting399261000
- Start
- 2026-05-15
- Stop
- 2026-05-16
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Lilia Montañez
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
03eafe4d-23cd-eb61-09db-3b9110f70a82