Claim total
$1,327.29
base $93.39 · payer covered $1,292.29
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Aortic valve stenosis60573004
- Start
- 2025-07-13
- Stop
- 2025-07-13
The parties
- Patient
- patient Kizzy Blondell Hermann
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
0fa13c65-5aee-f679-20bc-5a2d13ac62d5