Claim total
$997.43
base $76.30 · payer covered $797.94
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2015-09-07
- Stop
- 2015-09-08
The parties
- Patient
- patient Elijah Ellis Skiles
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
29599f43-c6ee-475e-081a-5a17823e0d32