Claim total
$11,306.87
base $127.17 · payer covered $9,045.33
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1997-12-27
- Stop
- 1998-01-03
The parties
- Patient
- patient Maybelle Pansy Buckridge
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2db4e680-0037-4778-9177-34a7f07577ce