Claim total
$977.84
base $76.30 · payer covered $595.87
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2019-09-23
- Stop
- 2019-09-24
The parties
- Patient
- patient Herbert Dorian Hickle
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0eddbb62-87a6-7f0d-9e8f-2ffec06e3c53