Claim total
$931.06
base $76.30 · payer covered $744.85
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2012-10-10
- Stop
- 2012-10-11
The parties
- Patient
- patient Lorenzo Ramiro Melgar
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
17370847-0ea5-3761-ed6c-af4d4ed42ad2