Claim total
$916.49
base $76.30 · payer covered $733.19
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2006-04-30
- Stop
- 2006-05-01
The parties
- Patient
- patient Jone Rae Hilpert
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
06668488-9bc5-0bda-8536-bfdafa5e744b