Claim total
$728.31
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305342007
- Reason
- diagnosis concept History of aortic valve repair119481000119105
- Start
- 2006-05-07
- Stop
- 2006-05-08
The parties
- Patient
- patient Quentin Ian Zieme
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
38dff7ea-54a1-0c08-5a7b-da29b75c9e49