Claim total
$7,489.16
base $127.17 · payer covered $7,439.16
The visit
- Class
- Inpatient
- Code
- 183495009
- Reason
- diagnosis concept Injury of anterior cruciate ligament444470001
- Start
- 2016-12-06
- Stop
- 2016-12-08
The parties
- Patient
- patient Abe Adolph Berge
- Provider
- provider Clarinda Spinka
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
035310e6-92e0-05c1-cbaa-03df36aea9e6