Claim total
$916.49
base $76.30 · payer covered $881.49
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1955-04-25
- Stop
- 1955-04-26
The parties
- Patient
- patient Armando Nick Frami
- Provider
- provider Katrina Romaguera
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Dual Eligible
Record id
126e863c-0f70-a48c-5fb8-568422bfe349