Claim total
$1,411.34
base $127.17 · payer covered $1,129.03
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept History of aortic valve replacement1231000119100
- Start
- 2025-12-02
- Stop
- 2025-12-04
The parties
- Patient
- patient Christy Yaeko Ernser
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
13d69f71-e09f-b5dc-ff7c-ab7fa2174e02