Claim total
$2,553.92
base $93.39 · payer covered $2,043.13
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2011-04-28
- Stop
- 2011-04-28
The parties
- Patient
- patient Hugo Lucas Valenzuela
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
335171b1-99b5-a5ab-f6ae-99b1bea523d5