Claim total
$2,243.65
base $93.39 · payer covered $1,794.91
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2013-12-16
- Stop
- 2013-12-16
The parties
- Patient
- patient Adolph Winford Hyatt
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
1da1ccef-4f88-f506-65b7-d536bdc62050