Claim total
$963.71
base $76.30 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1996-02-15
- Stop
- 1996-02-16
The parties
- Patient
- patient Libby Hettie Cruickshank
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
1a6a8fff-e731-ef09-0f61-559acb7ea52b