Claim total
$5,493.09
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1976-05-03
- Stop
- 1976-05-05
The parties
- Patient
- patient Sharell Herma Schaden
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
19f98f29-fa6f-31a8-e7de-f33e97f4c4d6