Claim total
$933.54
base $76.30 · payer covered $898.54
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2020-12-27
- Stop
- 2020-12-28
The parties
- Patient
- patient Ezekiel Demarcus Roob
- Provider
- provider Ross Stehr
- Payer
- payer Dual Eligible
Record id
2e1a22fb-46ba-3fcc-04af-f511dd5add8c