Claim total
$949.48
base $76.30 · payer covered $914.48
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2025-05-29
- Stop
- 2025-05-30
The parties
- Patient
- patient Lillian Billye O'Conner
- Provider
- provider Evan Graham
- Payer
- payer Dual Eligible
Record id
3248f34a-b42c-3b54-dc7f-707147f11850