Claim total
$1,371.59
base $93.39 · payer covered $549.52
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2022-09-30
- Stop
- 2022-09-30
The parties
- Patient
- patient Zulema Eloisa Kunde
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Aetna
Record id
2e0c5db6-de77-c14a-96f8-de4477a2a4cf