Claim total
$10,870.51
base $127.17 · payer covered $8,696.22
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2015-08-09
- Stop
- 2015-08-17
The parties
- Patient
- patient Raylene Edris Parisian
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
298344b3-dd31-0e7f-4573-3d5b26a1b1e7