Claim total
$27,771.18
base $127.17 · payer covered $22,216.95
The visit
- Class
- Inpatient
- Code
- 305411003
- Reason
- diagnosis concept Pulmonary emphysema87433001
- Start
- 2020-10-17
- Stop
- 2020-11-03
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Florencio Koepp
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
00decd7e-554a-447f-9e0f-d93a401b35bf