Claim total
$916.49
base $76.30 · payer covered $549.89
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2015-10-24
- Stop
- 2015-10-25
The parties
- Patient
- patient Brendan Kasey Hettinger
- Provider
- provider Silas Conn
- Payer
- payer Humana
Record id
0d09b896-2873-86dc-4997-38448d837ab6