Claim total
$48,920.32
base $127.17 · payer covered $48,885.32
The visit
- Class
- Inpatient
- Code
- 397821002
- Reason
- diagnosis concept History of coronary artery bypass grafting399261000
- Start
- 2026-05-07
- Stop
- 2026-05-15
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Lilia Montañez
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
03eafe4d-23cd-eb61-ca39-aff99d46171c