Claim total
$9,665.19
base $127.17 · payer covered $7,731.99
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2001-02-23
- Stop
- 2001-03-02
The parties
- Patient
- patient Floyd Jarvis Dooley
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
12286c1e-ee5b-ddc5-3f81-2e955438a926