Claim total
$1,327.29
base $93.39 · payer covered $1,061.83
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Aortic valve stenosis60573004
- Start
- 1988-11-14
- Stop
- 1988-11-14
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-cce1-2fdcefd11d5a