Claim total
$28,195.64
base $127.17 · payer covered $28,195.64
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2018-02-10
- Stop
- 2018-03-04
The parties
- Patient
- patient Merrill Isiah Kilback
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
0cdd8bf8-9e6d-8e54-da2b-428651f2a1b0