Claim total
$754.64
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2017-10-07
- Stop
- 2017-10-07
The parties
- Patient
- patient Kristofer Jordan Bruen
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Cigna Health
Record id
2aad9e33-b123-2099-8a34-72ad49d5ec7c