Claim total
$7,416.68
base $127.17 · payer covered $7,381.68
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2026-08-10
- Stop
- 2026-08-14
The parties
- Patient
- patient Ginger Jamie Feil
- Provider
- provider Gerardo Cruickshank
- Payer
- payer Dual Eligible
Record id
291eef3f-a432-2174-61d3-7ac81e38587a