Claim total
$4,762.26
base $127.17 · payer covered $3,809.74
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2002-03-07
- Stop
- 2002-03-10
The parties
- Patient
- patient Floyd Jarvis Dooley
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
12286c1e-ee5b-ddc5-0ef8-37f4d8f654be