Claim total
$5,092.44
base $127.17 · payer covered $5,057.44
The visit
- Class
- Inpatient
- Code
- 449214001
- Reason
- diagnosis concept History of aortic valve replacement1231000119100
- Start
- 2018-05-19
- Stop
- 2018-05-20
The parties
- Patient
- patient Manuel Dusty Mitchell
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
391ddd05-98fd-5656-6154-aceab991d845