Claim total
$983.65
base $76.30 · payer covered $786.92
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1995-08-09
- Stop
- 1995-08-10
The parties
- Patient
- patient Melinda Ines Koelpin
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
26d1b146-99fe-e0df-0088-6fdbc2d088b9