Claim total
$219.95
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 1981-08-12
- Stop
- 1981-08-12
The parties
- Patient
- patient Luz Virginia Barrios
- Provider
- provider Saundra Heller
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
17b8c9a8-0395-78a7-0d62-938df3afc3fb