Claim total
$948.32
base $76.30 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2018-07-20
- Stop
- 2018-07-21
The parties
- Patient
- patient Jim Mickey Dooley
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
2dd73ae7-e48b-31a9-7af8-57ade2777ba7