Claim total
$1,371.59
base $93.39 · payer covered $960.12
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2024-02-20
- Stop
- 2024-02-20
The parties
- Patient
- patient Lisabeth Eleonora Jacobs
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
Record id
1e25f1c3-be93-eaea-1233-c3fb256a0278