Claim total
$907.69
base $76.30 · payer covered $539.75
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1975-10-31
- Stop
- 1975-11-01
The parties
- Patient
- patient Nicole Kelsi Sipes
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0cb983be-15db-fabe-8677-1ae71c24285f