Claim total
$7,387.68
base $127.17 · payer covered $7,352.68
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2009-03-06
- Stop
- 2009-03-08
The parties
- Patient
- patient Belva Sau Barrows
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
1625e802-c261-3bac-8256-30ee7fdc2b94