Claim total
$936.49
base $76.30 · payer covered $749.19
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1994-03-30
- Stop
- 1994-03-31
The parties
- Patient
- patient Marshall Ellis Bradtke
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0cefa359-fd5a-c050-c1c3-7466bb4b737c