Claim total
$948.44
base $76.30 · payer covered $758.75
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2022-02-18
- Stop
- 2022-02-19
The parties
- Patient
- patient Dominga Sipes
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2d091fb5-4e8b-bc96-a360-de501f3ae123