Claim total
$6,279.55
base $127.17 · payer covered $5,023.57
The visit
- Class
- Inpatient
- Code
- 305351004
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2019-09-03
- Stop
- 2019-09-06
The parties
- Patient
- patient Lynn Catrina Keebler
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
1ce83e5f-4669-f644-36f6-7a6bd723bd41