Claim total
$6,065.18
base $127.17 · payer covered $4,852.05
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2011-12-28
- Stop
- 2012-01-01
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-c9d8-298ab98e87aa