Claim total
$922.89
base $76.30 · payer covered $738.31
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1996-07-08
- Stop
- 1996-07-09
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
02ec371b-21cc-5c35-d461-77b7cbb3e754