Claim total
$754.64
base $93.39 · payer covered $528.26
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2007-07-16
- Stop
- 2007-07-16
The parties
- Patient
- patient Ronald Ward
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
0f4d538d-612a-3fbe-7da3-8adeecc823a5