Claim total
$915.99
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1996-06-13
- Stop
- 1996-06-14
The parties
- Patient
- patient Garland Thiel
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
02ec371b-21cc-5c35-b7f5-6bddbb91f09a