Claim total
$7,166.82
base $127.17 · payer covered $5,733.34
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2025-08-26
- Stop
- 2025-08-31
The parties
- Patient
- patient Mignon Janay Johnson
- Provider
- provider Riley Walter
- Payer
- payer Medicare
Record id
0a37331a-7bd1-f3a9-81d2-042e44b04b4d