Claim total
$972.75
base $76.30 · payer covered $937.75
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1970-09-24
- Stop
- 1970-09-25
The parties
- Patient
- patient Heike Nelida Olson
- Provider
- provider Bethanie Wintheiser
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
195810b4-1136-614f-735e-b7461da78c74