Claim total
$4,976.38
base $127.17 · payer covered $3,981.04
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2020-02-12
- Stop
- 2020-02-15
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-c26c-78bda98ddc5f