Claim total
$916.49
base $76.30 · payer covered $733.19
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1987-02-24
- Stop
- 1987-02-25
The parties
- Patient
- patient Jeanmarie Jann Bogisich
- Provider
- provider Evan Graham
- Payer
- payer Medicare
Record id
17e1c4cb-44e4-7484-ccb8-b2975fdda1a5