Claim total
$935.29
base $76.30 · payer covered $748.23
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2019-09-17
- Stop
- 2019-09-18
The parties
- Patient
- patient Bethel Rossana Hoppe
- Provider
- provider Tiffany Smitham
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
2294f68d-9515-cbd5-ddf8-6004b26e838d