Claim total
$4,647.46
base $127.17 · payer covered $3,717.92
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2025-02-19
- Stop
- 2025-02-21
The parties
- Patient
- patient Anisha Lyndsey Bernhard
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2fb35278-38d1-a5f4-98f3-56e63cc43041