Claim total
$909.86
base $76.30 · payer covered $727.89
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2016-05-11
- Stop
- 2016-05-12
The parties
- Patient
- patient Dante Stevie Bartoletti
- Provider
- provider Ray Kutch
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
14c06153-55ef-b7c9-9d66-91a1140a8259