Claim total
$969.87
base $76.30 · payer covered $589.50
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2005-04-07
- Stop
- 2005-04-08
The parties
- Patient
- patient Yolonda Aretha Strosin
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
30f87563-5420-b643-3849-66b8567ad31b