Claim total
$1,411.34
base $127.17 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept History of aortic valve repair119481000119105
- Start
- 2006-05-05
- Stop
- 2006-05-07
The parties
- Patient
- patient Quentin Ian Zieme
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
38dff7ea-54a1-0c08-7adb-115ad5fd328f