Claim total
$7,160.91
base $127.17 · payer covered $5,728.64
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2017-10-07
- Stop
- 2017-10-11
The parties
- Patient
- patient Cyndy Thora Hackett
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
3a6342ed-106b-b99c-d139-c5ff1d2c31b2