Claim total
$986.88
base $76.30 · payer covered $951.88
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2010-03-30
- Stop
- 2010-03-31
The parties
- Patient
- patient Latoyia Runolfsdottir
- Provider
- provider Jarvis Braun
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
251b2d21-b2f3-af19-e79f-6ecf40c39a46