Claim total
$981.76
base $76.30 · payer covered $785.41
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2022-04-12
- Stop
- 2022-04-13
The parties
- Patient
- patient Teodoro Watsica
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
377468ea-eae6-c638-8dd3-2af62a703cb3