Claim total
$928.17
base $76.30 · payer covered $878.17
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2011-09-08
- Stop
- 2011-09-09
The parties
- Patient
- patient Jacqui Bess Baumbach
- Provider
- provider Avery VonRueden
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
019cda32-2557-7f65-dc1e-cafeebc2fbf8