Claim total
$916.49
base $76.30 · payer covered $546.79
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2000-11-23
- Stop
- 2000-11-24
The parties
- Patient
- patient Reginald Nicholas Torp
- Provider
- provider Evan Graham
- Payer
- payer Medicare
Record id
30569de9-7593-beca-4aa9-ba840b8319ff