Claim total
$942.69
base $76.30 · payer covered $792.69
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2026-02-17
- Stop
- 2026-02-18
The parties
- Patient
- patient Bernetta Dare
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
2253ffad-5335-0a17-fea8-0f2d0142d366