Claim total
$921.34
base $76.30 · payer covered $737.07
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2008-08-18
- Stop
- 2008-08-19
The parties
- Patient
- patient Nadine Jennette Blanda
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
2fd4d5da-96ab-f21b-27db-3f73eb8562a7