Claim total
$1,139.61
base $127.17 · payer covered $911.68
The visit
- Class
- Inpatient
- Code
- 305342007
- Reason
- diagnosis concept History of aortic valve replacement1231000119100
- Start
- 2007-02-14
- Stop
- 2007-02-15
The parties
- Patient
- patient Elwood Man Borer
- Provider
- provider Riley Walter
- Payer
- payer Medicare
Record id
2976ad32-7068-021e-194b-fa843e0c2267