Claim total
$1,139.61
base $127.17 · payer covered $1,139.61
The visit
- Class
- Inpatient
- Code
- 305342007
- Reason
- diagnosis concept History of aortic valve replacement1231000119100
- Start
- 2023-12-12
- Stop
- 2023-12-13
The parties
- Patient
- patient Marvin Freddie Fisher
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
2fabcc2d-ad4a-b3ba-b642-64d0a6b68d1a