Claim total
$916.49
base $76.30 · payer covered $866.49
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2007-02-11
- Stop
- 2007-02-12
The parties
- Patient
- patient Lawrence Daugherty
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
09df0285-fddb-28fc-4a01-442e2da40480