Claim total
$35,499.45
base $127.17 · payer covered $28,398.89
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2001-03-19
- Stop
- 2001-04-16
The parties
- Patient
- patient Grazyna Anjanette Lowe
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
1a5a8158-2d65-1c33-b395-78143ab5d05d