Claim total
$916.49
base $76.30 · payer covered $733.19
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2015-04-08
- Stop
- 2015-04-09
The parties
- Patient
- patient Jeffry Zack Metz
- Provider
- provider Santos Hettinger
- Payer
- payer Medicare
Record id
29af2f86-72b0-a027-1785-5fdb44ff033a