Claim total
$4,836.43
base $127.17 · payer covered $4,836.43
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2009-06-29
- Stop
- 2009-07-01
The parties
- Patient
- patient Quentin Ian Zieme
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
38dff7ea-54a1-0c08-774f-07cdf45b1190