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
- 1988-12-24
- Stop
- 1988-12-25
The parties
- Patient
- patient Princess Felisha Kub
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
2918896c-6cc7-6a93-6372-806220e5088c