Claim total
$916.49
base $76.30 · payer covered $733.19
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2000-01-24
- Stop
- 2000-01-25
The parties
- Patient
- patient Hortensia Hedwig Johnson
- Provider
- provider Altagracia Rippin
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0aaf4f74-ced4-523a-69a9-3a44b9bfa88e