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
- 2001-07-16
- Stop
- 2001-07-16
The parties
- Patient
- patient Kim Edmundo Rolfson
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
03d7ab8f-b989-4d49-903c-07dd51df4106