Claim total
$1,388.98
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2004-09-10
- Stop
- 2004-09-11
The parties
- Patient
- patient Latrisha Simonne Kuhlman
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
0277738c-b3e3-4ada-efca-12b3f3e2f501