Claim total
$957.91
base $76.30 · payer covered $766.33
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1997-04-28
- Stop
- 1997-04-29
The parties
- Patient
- patient Emelda Buckridge
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0d3f842e-991a-78cb-24eb-edc4ae29e966