Claim total
$920.98
base $76.30 · payer covered $885.98
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1998-08-05
- Stop
- 1998-08-06
The parties
- Patient
- patient Dante Frances Kilback
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
1300e620-3b80-81ae-b63c-3fc806466e94