Claim total
$920.92
base $76.30 · payer covered $550.34
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2024-12-20
- Stop
- 2024-12-21
The parties
- Patient
- patient Long Everette O'Connell
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
2b42a968-c9dc-d930-d97d-243eaa026b36