Claim total
$916.49
base $76.30 · payer covered $546.79
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2011-06-04
- Stop
- 2011-06-05
The parties
- Patient
- patient Douglas Mose Kertzmann
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
2a999821-d76f-cf16-9b6b-6238ee8050ce