Claim total
$7,868.51
base $127.17 · payer covered $6,294.69
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 1995-10-25
- Stop
- 1995-10-30
The parties
- Patient
- patient Marcus Hickle
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
30e9a2c3-3140-d929-7cac-6521faa42bc6