Claim total
$916.49
base $76.30 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2004-11-29
- Stop
- 2004-11-30
The parties
- Patient
- patient Cyril Luciano Walsh
- Provider
- provider Georgetta Kohler
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
334963a8-b170-3b80-6fa7-2c9436d995e3