Claim total
$5,422.35
base $127.17 · payer covered $4,337.87
The visit
- Class
- Inpatient
- Code
- 449214001
- Reason
- diagnosis concept History of aortic valve replacement1231000119100
- Start
- 2023-03-17
- Stop
- 2023-03-18
The parties
- Provider
- provider Elvis Lebsack
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
3b110507-6544-1ce0-9705-7a93c01015d3