Claim total
$8,986.05
base $127.17 · payer covered $8,986.05
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2023-11-02
- Stop
- 2023-11-08
The parties
- Patient
- patient Zulema Eloisa Kunde
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Aetna
Record id
2e0c5db6-de77-c14a-780a-34e1dce48a62