Claim total
$8,369.10
base $127.17 · payer covered $6,695.14
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2016-10-06
- Stop
- 2016-10-12
The parties
- Patient
- patient Cyndy Thora Hackett
- Provider
- provider Madison Cartwright
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
3a6342ed-106b-b99c-7e01-088ba249f758