Claim total
$7,391.49
base $127.17 · payer covered $5,913.10
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2026-07-15
- Stop
- 2026-07-19
The parties
- Patient
- patient Giovanni Riley Hilll
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
1e5a5554-7082-bc61-8aa4-be9784ee1ad0