Claim total
$14,847.46
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1976-11-24
- Stop
- 1976-12-05
The parties
- Patient
- patient Fredrick Vito Pagac
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
18ec6897-232a-8579-9695-78b77b21bbc2