Claim total
$915.99
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1987-12-25
- Stop
- 1987-12-25
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Ray Kutch
- Care site
- care site MERCY HOSPITAL
- Payer
- payer No insurance
Record id
058279b6-7701-4823-5499-dcfa4ac35faf