Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Pulmonic valve stenosis56786000
- Start
- 1966-07-02
- Stop
- 1966-07-02
The parties
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
02b0534d-1cdc-7379-4658-461c4766d008