Claim total
$916.49
base $76.30 · payer covered $546.79
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2022-03-18
- Stop
- 2022-03-19
The parties
- Patient
- patient Abbie Kulas
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
377e9575-a2e9-6ea3-9a22-5a1dec23cb14