Claim total
$916.49
base $76.30 · payer covered $733.19
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2013-09-01
- Stop
- 2013-09-02
The parties
- Patient
- patient Cristy Exie Pouros
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
034e20ab-aae7-ddf8-98a2-c889fd0df1b4