Claim total
$504.69
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2018-03-15
- Stop
- 2018-03-16
The parties
- Patient
- patient Emery Herbert Steuber
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
003012ce-f819-e17b-537d-547d71fa27dd