Claim total
$945.90
base $76.30 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2017-02-13
- Stop
- 2017-02-14
The parties
- Patient
- patient Bettye Jeannetta Stamm
- Provider
- provider Goldie O'Hara
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer UnitedHealthcare
Record id
35bc384f-9e87-79c6-6dcc-863dfeeaf17d