Claim total
$10,224.11
base $127.17 · payer covered $8,179.15
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2011-08-10
- Stop
- 2011-08-16
The parties
- Patient
- patient Luba Aurora Lind
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
3ac473f7-cf22-bcad-171d-b5f10ed4c208