Claim total
$932.57
base $76.30 · payer covered $312.45
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2012-06-29
- Stop
- 2012-06-30
The parties
- Patient
- patient Garry Jarvis Mosciski
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Anthem
Record id
30b16a0b-bea1-7e53-1cd7-079255abc7c5