Claim total
$2,088.64
base $93.39 · payer covered $1,670.90
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2026-01-16
- Stop
- 2026-01-16
The parties
- Patient
- patient Giovanni Riley Hilll
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
1e5a5554-7082-bc61-06d1-d0b12c81dc02