Claim total
$984.03
base $76.30 · payer covered $0.00
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Sleep disorder39898005
- Start
- 1999-06-18
- Stop
- 1999-06-19
The parties
- Patient
- patient Dylan Mante
- Provider
- provider Alesia Douglas
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
1d345bd8-58e2-79a2-d46f-3db1a6587108