Claim total
$1,327.29
base $93.39 · payer covered $1,292.29
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Aortic valve stenosis60573004
- Start
- 2024-11-06
- Stop
- 2024-11-06
The parties
- Patient
- patient Adena Noemi Effertz
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Dual Eligible
Record id
2804fa6c-2718-80c4-a810-d4ebf6980865