Claim total
$918.29
base $76.30 · payer covered $548.23
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1975-07-24
- Stop
- 1975-07-25
The parties
- Patient
- patient Trevor Darrick Legros
- Provider
- provider Noe Hills
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
216fad95-7533-5170-ecfa-40a547b7e1e1