Claim total
$9,182.88
base $127.17 · payer covered $7,346.29
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Myocardial infarction22298006
- Start
- 1997-06-21
- Stop
- 1997-06-21
The parties
- Patient
- patient Lucie Shayla Metz
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0095f26f-6c35-6a9c-1f29-288fe87035a1