Claim total
$21,594.18
base $127.17 · payer covered $21,559.18
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1980-12-19
- Stop
- 1981-01-05
The parties
- Patient
- patient Genaro Bogisich
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
18824347-e6f1-f9f3-3ae0-3741cee48974