Claim total
$916.49
base $76.30 · payer covered $733.19
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2007-08-24
- Stop
- 2007-08-25
The parties
- Patient
- patient Moshe Danilo Schoen
- Provider
- provider Evan Graham
- Payer
- payer Medicare
Record id
12e72ee6-8b43-3f6b-b0d0-b640c14617f3