Claim total
$32,181.32
base $127.17 · payer covered $25,745.03
The visit
- Class
- Inpatient
- Code
- 397821002
- Reason
- diagnosis concept History of aortic valve replacement1231000119100
- Start
- 2023-12-11
- Stop
- 2023-12-12
The parties
- Patient
- patient Marvin Freddie Fisher
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
2fabcc2d-ad4a-b3ba-020d-7ee4c139d36e