Claim total
$915.99
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1978-03-22
- Stop
- 1978-03-22
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
01d0b380-425a-3ac7-83ed-9a06e5580dfc