Claim total
$8,993.02
base $127.17 · payer covered $7,194.27
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2005-09-26
- Stop
- 2005-10-02
The parties
- Patient
- patient Ciera Sharell Koelpin
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
2addfeac-df52-3556-385e-f47322f5ba0f