Claim total
$916.49
base $76.30 · payer covered $881.49
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2022-03-03
- Stop
- 2022-03-04
The parties
- Patient
- patient Ellena Eartha Cassin
- Provider
- provider Wes Jast
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
2c69d807-451d-7a16-db00-c7fc3ddf50ec