Claim total
$8,431.66
base $127.17 · payer covered $5,902.31
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2009-06-12
- Stop
- 2009-06-18
The parties
- Patient
- patient Quentin Ian Zieme
- Provider
- provider Vicente Kilback
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
38dff7ea-54a1-0c08-f2fe-b6e49c1c92a9