Claim total
$966.64
base $76.30 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2003-05-15
- Stop
- 2003-05-16
The parties
- Patient
- patient Raymundo Bradley Monahan
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
2387da0b-9a14-9a7e-89c1-5af788cbc40a