Claim total
$1,139.61
base $127.17 · payer covered $911.68
The visit
- Class
- Inpatient
- Code
- 305342007
- Reason
- diagnosis concept History of aortic valve replacement1231000119100
- Start
- 2026-07-02
- Stop
- 2026-07-03
The parties
- Patient
- patient Raymundo Bradley Monahan
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2387da0b-9a14-9a7e-ba10-d2332dd6a821