Claim total
$18,373.45
base $127.17 · payer covered $14,698.43
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2004-04-14
- Stop
- 2004-04-28
The parties
- Patient
- patient Sherman Eli Wehner
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
3afc00a4-39f9-07a4-7bf7-b729dfd7ac47