Claim total
$1,772.37
base $127.17 · payer covered $1,417.90
The visit
- Class
- Inpatient
- Code
- 305342007
- Reason
- diagnosis concept History of coronary artery bypass grafting399261000
- Start
- 1999-05-19
- Stop
- 1999-05-20
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-7768-ac564042d894