Claim total
$8,723.79
base $127.17 · payer covered $8,688.79
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1997-05-03
- Stop
- 1997-05-09
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-db6f-584e7c14d81c