Claim total
$11,275.41
base $127.17 · payer covered $9,020.16
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2018-06-18
- Stop
- 2018-06-25
The parties
- Patient
- patient Robbyn Tyesha Lynch
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
1fca128b-2fe3-7e2a-7890-bf92426d4f7d