Claim total
$774.63
base $93.39 · payer covered $619.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic congestive heart failure88805009
- Start
- 2018-07-02
- Stop
- 2018-07-02
The parties
- Patient
- patient Mitchell Buck Williamson
- Provider
- provider Tiffany Sauer
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
30e5ea2d-b852-2bba-72ed-3b37cfd0a375