Claim total
$944.68
base $76.30 · payer covered $909.68
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2003-09-24
- Stop
- 2003-09-25
The parties
- Patient
- patient Merrilee Danika Lockman
- Provider
- provider Evan Graham
- Payer
- payer Dual Eligible
Record id
3a0268da-7888-d772-aaf8-abdfd1cb8c7c