Claim total
$944.14
base $76.30 · payer covered $894.14
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2019-09-27
- Stop
- 2019-09-28
The parties
- Patient
- patient Paris Trey Walter
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
37673647-f996-00e9-d7ff-4dd3b8bbbd92