Claim total
$7,900.31
base $127.17 · payer covered $6,320.16
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2014-06-05
- Stop
- 2014-06-09
The parties
- Patient
- patient Ray Troy Osinski
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
1fd2fa7e-032c-24bf-999c-db957bcef425