Claim total
$916.49
base $76.30 · payer covered $546.79
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2017-12-09
- Stop
- 2017-12-10
The parties
- Patient
- patient Long Lee Koelpin
- Provider
- provider Kasi Schamberger
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
3262d190-0790-ed5d-0b51-6d39f4dcf2ab