Claim total
$986.88
base $76.30 · payer covered $951.88
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2001-12-15
- Stop
- 2001-12-16
The parties
- Patient
- patient Lucia Eloisa Prado
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
130f657d-55b9-f148-c17b-21a32abf126a