Claim total
$5,092.44
base $127.17 · payer covered $5,057.44
The visit
- Class
- Inpatient
- Code
- 449214001
- Reason
- diagnosis concept History of aortic valve replacement1231000119100
- Start
- 2024-11-11
- Stop
- 2024-11-12
The parties
- Patient
- patient Adena Noemi Effertz
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Dual Eligible
Record id
2804fa6c-2718-80c4-633e-e9ec24cefd00