Claim total
$13,463.07
base $127.17 · payer covered $10,770.46
The visit
- Class
- Inpatient
- Code
- 305411003
- Reason
- diagnosis concept Chronic obstructive bronchitis185086009
- Start
- 2020-12-03
- Stop
- 2020-12-07
The parties
- Patient
- patient Tanner Emile Stehr
- Provider
- provider Minerva DuBuque
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
04510aef-c62e-a77f-e423-a5835a973ffe