Claim total
$58,050.18
base $127.17 · payer covered $46,440.10
The visit
- Class
- Inpatient
- Code
- 397821002
- Reason
- diagnosis concept History of aortic valve replacement1231000119100
- Start
- 1994-10-06
- Stop
- 1994-10-08
The parties
- Patient
- patient Geoffrey Kilback
- Provider
- provider Clayton Aufderhar
- Payer
- payer Medicare
Record id
27d28cce-29f9-127f-c75e-d1b030ee9991