Claim total
$1,327.29
base $93.39 · payer covered $1,277.29
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Aortic valve stenosis60573004
- Start
- 1976-07-15
- Stop
- 1976-07-15
The parties
- Patient
- patient Belva Sau Barrows
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
1625e802-c261-3bac-3c8e-de9cf29b184a