Claim total
$961.14
base $76.30 · payer covered $768.91
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2005-06-03
- Stop
- 2005-06-04
The parties
- Patient
- patient Jordan Darrel Hodkiewicz
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
26a1fd64-1e1f-4fc3-a87a-962b2e1c2bf0