Claim total
$959.86
base $76.30 · payer covered $767.89
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2007-04-27
- Stop
- 2007-04-28
The parties
- Patient
- patient Genaro Tomas Kertzmann
- Provider
- provider Evan Graham
- Payer
- payer Medicare
Record id
17191b9b-02e3-d772-7420-fc65e7a5d2e4