Claim total
$10,042.63
base $127.17 · payer covered $8,033.94
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2016-04-08
- Stop
- 2016-04-15
The parties
- Patient
- patient Robbyn Tyesha Lynch
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
1fca128b-2fe3-7e2a-2b8b-d45c13223fd2