Claim total
$962.49
base $76.30 · payer covered $583.59
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2009-08-14
- Stop
- 2009-08-15
The parties
- Patient
- patient Jewel Mickey Strosin
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
0eed54c4-8787-f160-5a04-5cffba8dccb1