Claim total
$15,646.59
base $127.17 · payer covered $15,611.59
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2023-02-11
- Stop
- 2023-02-23
The parties
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
28dc95ea-454e-cf3c-65fb-4968e5f35c70