Claim total
$3,088.78
base $127.17 · payer covered $2,471.00
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2016-12-28
- Stop
- 2016-12-29
The parties
- Patient
- patient Gaylene Adell Reynolds
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
34c15c13-e4f6-1b19-ebaf-f1ce1df7ed6f