Claim total
$954.36
base $76.30 · payer covered $919.36
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2005-09-03
- Stop
- 2005-09-04
The parties
- Patient
- patient Abe Adolph Berge
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
035310e6-92e0-05c1-3066-6bb03964c049