Claim total
$21,892.76
base $127.17 · payer covered $17,514.21
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Cerebrovascular accident230690007
- Start
- 2016-01-02
- Stop
- 2016-01-02
The parties
- Patient
- patient Tanner Emile Stehr
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
04510aef-c62e-a77f-2fab-d612f022cfd1