Claim total
$1,308.10
base $93.39 · payer covered $1,046.47
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2014-04-02
- Stop
- 2014-04-02
The parties
- Patient
- patient Bonita Lehner
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0955adaa-a76f-8e05-1e45-533b39c159ea