Claim total
$7,289.72
base $76.30 · payer covered $7,239.72
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Appendicitis74400008
- Start
- 1990-01-06
- Stop
- 1990-01-11
The parties
- Patient
- patient Lee Scot Rosenbaum
- Provider
- provider Terry Blick
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
027e2621-860b-6019-82dc-e534f4030780