Claim total
$916.49
base $76.30 · payer covered $546.79
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2021-08-22
- Stop
- 2021-08-23
The parties
- Patient
- patient Dionne Clarine Goyette
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
30b625d5-2a32-ead8-2ffb-4b6d58ec1952