Claim total
$955.02
base $76.30 · payer covered $764.02
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2018-11-18
- Stop
- 2018-11-19
The parties
- Patient
- patient Gonzalo Goodwin
- Provider
- provider Santos Hettinger
- Payer
- payer Medicare
Record id
1b095863-7386-17e5-698c-fbbd4660a070