Claim total
$7,897.65
base $127.17 · payer covered $6,318.03
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1997-10-19
- Stop
- 1997-10-23
The parties
- Patient
- patient Marcus Hickle
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
30e9a2c3-3140-d929-0164-c5d0f95923f0