Claim total
$3,148.68
base $127.17 · payer covered $2,518.90
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2001-10-20
- Stop
- 2001-10-22
The parties
- Patient
- patient Sarah Rosalinda Price
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
38553ed2-1e87-6b5c-a37a-7b7c84289621