Claim total
$6,301.49
base $127.17 · payer covered $5,041.10
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2015-03-08
- Stop
- 2015-03-12
The parties
- Patient
- patient Jeffry Zack Metz
- Provider
- provider Viva Heathcote
- Payer
- payer Medicare
Record id
29af2f86-72b0-a027-a1b4-6e63d056564e