Claim total
$2,799.87
base $127.17 · payer covered $2,239.87
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2011-04-25
- Stop
- 2011-04-26
The parties
- Patient
- patient Quentin Ian Zieme
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
38dff7ea-54a1-0c08-e6bd-bbbf814b5c0f