Claim total
$2,357.70
base $127.17 · payer covered $1,886.14
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2006-06-26
- Stop
- 2006-06-27
The parties
- Patient
- patient Mitsue Sipes
- Provider
- provider Gerardo Cruickshank
- Payer
- payer Medicare
Record id
12bc3113-50d7-c8ca-5c24-49b442e7ac95