Claim total
$916.49
base $76.30 · payer covered $881.49
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1978-05-12
- Stop
- 1978-05-13
The parties
- Patient
- patient Manuel Dusty Mitchell
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
391ddd05-98fd-5656-1a10-05d18d6b2048