Claim total
$86,320.24
base $127.17 · payer covered $69,056.05
The visit
- Class
- Inpatient
- Code
- 397821002
- Reason
- diagnosis concept History of aortic valve replacement1231000119100
- Start
- 2026-06-26
- Stop
- 2026-07-02
The parties
- Patient
- patient Raymundo Bradley Monahan
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2387da0b-9a14-9a7e-d002-b129aeec72d6