Claim total
$7,249.87
base $127.17 · payer covered $5,799.82
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2015-01-14
- Stop
- 2015-01-17
The parties
- Patient
- patient Raylene Edris Parisian
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
298344b3-dd31-0e7f-2ae5-9a15ad765970