Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 2009-11-06
- Stop
- 2009-11-06
The parties
- Patient
- patient Justine Walter Sanford
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
22af1154-23c4-5080-8329-21ea49753fea