Claim total
$997.43
base $76.30 · payer covered $947.43
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2020-09-18
- Stop
- 2020-09-19
The parties
- Patient
- patient Dusty Tyson Heidenreich
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
2cd4188f-31dd-c72f-a923-86219f559501