Claim total
$6,651.93
base $127.17 · payer covered $6,616.93
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1998-05-04
- Stop
- 1998-05-08
The parties
- Patient
- patient Brian Waldo Hettinger
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
1f852fca-7569-a697-5c81-56cfc4727a24