Claim total
$6,453.30
base $127.17 · payer covered $5,162.57
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2021-08-02
- Stop
- 2021-08-05
The parties
- Patient
- patient Joaquín Benjamín Rivero
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2d546f3c-e25a-6984-672a-d358c99ed923