Claim total
$6,134.17
base $127.17 · payer covered $4,907.24
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2011-12-22
- Stop
- 2011-12-26
The parties
- Patient
- patient Ronald Ward
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0f4d538d-612a-3fbe-0b28-cef253f50f06