Claim total
$6,377.74
base $127.17 · payer covered $5,102.10
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2017-03-14
- Stop
- 2017-03-18
The parties
- Patient
- patient Jordan Darrel Hodkiewicz
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
26a1fd64-1e1f-4fc3-c164-bea68730848a