Claim total
$28,341.26
base $127.17 · payer covered $22,673.01
The visit
- Class
- Inpatient
- Code
- 183495009
- Reason
- diagnosis concept Injury of medial collateral ligament of knee444448004
- Start
- 1994-02-28
- Stop
- 1994-03-02
The parties
- Patient
- patient Mireya Bode
- Provider
- provider Clarinda Spinka
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
04f53306-ad14-544b-64e9-e8f42259c1a8