Claim total
$929.15
base $76.30 · payer covered $743.32
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2013-07-19
- Stop
- 2013-07-20
The parties
- Patient
- patient Stephanie Naomi Tremblay
- Provider
- provider Evan Graham
- Payer
- payer Medicare
Record id
3a8746e3-94a3-6688-202c-4eac44908cd2