Claim total
$957.07
base $76.30 · payer covered $922.07
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2004-02-15
- Stop
- 2004-02-16
The parties
- Patient
- patient Justin Hai Altenwerth
- Provider
- provider Santos Hettinger
- Payer
- payer Dual Eligible
Record id
0eb7ef7b-4862-efa5-5c78-41831991a0e7