Claim total
$915.99
base $93.39 · payer covered $765.99
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2011-08-23
- Stop
- 2011-08-23
The parties
- Patient
- patient Jacqui Bess Baumbach
- Provider
- provider May Collier
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicaid
Record id
019cda32-2557-7f65-9bb6-a7b1cad1a021