Claim total
$728.31
base $127.17 · payer covered $582.64
The visit
- Class
- Inpatient
- Code
- 305342007
- Reason
- diagnosis concept History of aortic valve replacement1231000119100
- Start
- 2013-08-18
- Stop
- 2013-08-19
The parties
- Patient
- patient Ione Yahaira Glover
- Provider
- provider Gerardo Cruickshank
- Payer
- payer UnitedHealthcare
Record id
21ffffe4-f03e-a436-4cf1-3eef93e32978