Claim total
$916.49
base $76.30 · payer covered $733.19
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2012-03-12
- Stop
- 2012-03-13
The parties
- Patient
- patient Willow Jesus Boyle
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2adbf31f-21de-8538-a944-c14efd78f1eb