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
- 1991-01-22
- Stop
- 1991-01-23
The parties
- Patient
- patient Glennis Juliana Borer
- Provider
- provider Jeromy Adams
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2886847e-da4b-74ed-481b-922c00c24405