Claim total
$1,078.75
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2011-05-08
- Stop
- 2011-05-08
The parties
- Patient
- patient Sang Raymundo Wolff
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
Record id
0c6ad717-8d19-38b7-0e35-38cff565e3db