Claim total
$18,604.29
base $127.17 · payer covered $14,883.10
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2017-09-13
- Stop
- 2017-09-27
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-d8d5-b69e2c43f5d8