Claim total
$16,719.49
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2005-04-11
- Stop
- 2005-04-23
The parties
- Patient
- patient Candyce Isabel Gutkowski
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
32da48b4-09cc-d935-6144-9af5470b2ed3