Claim total
$907.69
base $76.30 · payer covered $726.15
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1989-09-17
- Stop
- 1989-09-18
The parties
- Patient
- patient Simon Frederic Gulgowski
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
034c4f48-8c73-4f35-fb75-eb0b74778ab4