Claim total
$967.50
base $76.30 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2003-09-16
- Stop
- 2003-09-17
The parties
- Patient
- patient Rosario Jim Braun
- Provider
- provider Lovie Turcotte
- Payer
- payer No insurance
Record id
023d14fa-8b29-07fb-ff50-0aed05863940