Claim total
$920.92
base $76.30 · payer covered $736.74
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2005-07-05
- Stop
- 2005-07-06
The parties
- Patient
- patient Jerald Stephan Franecki
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
14d5e8cb-a3c4-0491-13c1-9ad0d6116b1f