Claim total
$4,561.54
base $127.17 · payer covered $3,649.19
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2025-04-02
- Stop
- 2025-04-04
The parties
- Patient
- patient Shon Treutel
- Provider
- provider Gerardo Cruickshank
- Payer
- payer Medicare
Record id
22038bd6-13c2-0b0a-a157-89d3d2782662