Claim total
$915.99
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2013-07-14
- Stop
- 2013-07-14
The parties
- Patient
- patient Cristy Exie Pouros
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
034e20ab-aae7-ddf8-eaa5-eaf2332acae2