Claim total
$4,654.70
base $127.17 · payer covered $4,654.70
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2024-04-09
- Stop
- 2024-04-10
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-e2d9-b05250229115