Claim total
$915.99
base $93.39 · payer covered $865.99
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2005-08-11
- Stop
- 2005-08-11
The parties
- Patient
- patient Abe Adolph Berge
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
035310e6-92e0-05c1-b3d6-9f0c1efbd10b