Claim total
$916.49
base $76.30 · payer covered $546.79
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1989-08-19
- Stop
- 1989-08-20
The parties
- Patient
- patient Gregg Thanh Casper
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
0f8a82e6-c6ea-0ec7-3e4b-18181476a2d4