Claim total
$979.12
base $76.30 · payer covered $944.12
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1996-10-01
- Stop
- 1996-10-02
The parties
- Patient
- patient Christy Lonnie Dare
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
07310d81-b798-6d62-58dc-aa730ee6d6d1