Claim total
$916.49
base $76.30 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 185389009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1992-12-06
- Stop
- 1992-12-07
The parties
- Patient
- patient Antoine Darryl Gaylord
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
077c34f7-978c-a8b9-33cb-24e2cf90b0ae