Claim total
$29,457.35
base $127.17 · payer covered $23,565.38
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2025-09-10
- Stop
- 2025-10-01
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Gerardo Cruickshank
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-613e-e3f91b450051