Claim total
$4,871.12
base $127.17 · payer covered $4,836.12
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2006-09-13
- Stop
- 2006-09-16
The parties
- Patient
- patient Ellis Gary Cronin
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
0c89b8f2-1b95-b082-1e8b-f6f96f42ebd8