Claim total
$935.03
base $76.30 · payer covered $900.03
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 2010-07-27
- Stop
- 2010-07-28
The parties
- Patient
- patient Cedrick Heath Rosenbaum
- Provider
- provider Ray Kutch
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Dual Eligible
Record id
03eafe4d-23cd-eb61-c0b0-dc147320c30f