Claim total
$907.69
base $76.30 · payer covered $872.69
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2010-05-08
- Stop
- 2010-05-09
The parties
- Patient
- patient Joe Abe Koch
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
20ddca7d-6cee-85eb-0992-869254c19667