Claim total
$17,534.11
base $127.17 · payer covered $14,026.98
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2025-11-24
- Stop
- 2025-12-07
The parties
- Patient
- patient Tory Lakin
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0ce9d086-2cd3-94e4-16d0-a727c557eb65