Claim total
$8,325.73
base $127.17 · payer covered $8,290.73
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2021-05-13
- Stop
- 2021-05-19
The parties
- Patient
- patient Terrell Allan Walter
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
0c1ee120-1dc7-6b68-d4ac-a616b59e8084