Claim total
$981.73
base $76.30 · payer covered $785.38
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2021-01-31
- Stop
- 2021-02-01
The parties
- Patient
- patient Jeremy Gregory Jacobson
- Provider
- provider Chance Wisoky
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
04f9baea-0c64-12b2-f983-49eb68539fbb