Claim total
$5,175.94
base $127.17 · payer covered $4,140.71
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2023-10-21
- Stop
- 2023-10-23
The parties
- Patient
- patient Danilo Volkman
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
36724fda-fdcf-8680-df2c-40db3d75c243