Claim total
$915.99
base $93.39 · payer covered $915.99
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2010-06-20
- Stop
- 2010-06-20
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Ray Kutch
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
03eafe4d-23cd-eb61-349a-1063be4f3dc8