Claim total
$29,775.12
base $127.17 · payer covered $29,775.12
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2000-02-06
- Stop
- 2000-02-29
The parties
- Patient
- patient Floyd Jarvis Dooley
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
12286c1e-ee5b-ddc5-4511-afc2bcae72fe