Claim total
$3,121.13
base $127.17 · payer covered $2,496.88
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2022-09-11
- Stop
- 2022-09-12
The parties
- Patient
- patient Kristofer Jordan Bruen
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
2aad9e33-b123-2099-bf3d-05ddc9951a7e