Claim total
$1,139.61
base $127.17 · payer covered $911.68
The visit
- Class
- Inpatient
- Code
- 305342007
- Reason
- diagnosis concept History of aortic valve replacement1231000119100
- Start
- 2013-10-19
- Stop
- 2013-10-20
The parties
- Patient
- patient Bonita Lehner
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0955adaa-a76f-8e05-9255-95dd4398e7f9