Claim total
$923.88
base $76.30 · payer covered $888.88
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2010-01-15
- Stop
- 2010-01-16
The parties
- Patient
- patient Shandra Rosalina Wyman
- Provider
- provider Sharika Hamill
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Dual Eligible
Record id
32f5456f-364a-5a66-7e3d-9b4d403324df